Organization
DR B KRIS MULLINS MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. B KRIS MULLINS MD (OWNER)
(405) 306-3876
Entity
Organization
Contact information
Practice address
1211 N SHARTEL AVE, SUITE 1000, OKLAHOMA CITY, OK 73103-2400
(405) 604-6700
(405) 843-5865
Mailing address
DEPT 96-0485, OKLAHOMA CITY, OK 73196-0485
(405) 306-3876
(405) 843-5865
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
19064
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19054
LICENSE
OK
Enumeration date
02/11/2014
Last updated
04/15/2014
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