Individual
BRIAN WADE MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
7000 W 9TH AVE, AMARILLO, TX 79106-1709
(806) 350-2663
Mailing address
8 WINDY MEADOW LN, CANYON, TX 79015-3213
(512) 461-3932
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT3622
TX
Other
Enumeration date
05/17/2007
Last updated
11/30/2009
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