Individual
DAVID H MULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2751 ALBERT L. BICKNELL DRIVE, SUITE 5C, SHREVEPORT, LA 71103-3920
(318) 227-9777
(318) 459-1188
Mailing address
2751 ALBERT L. BICKNELL DRIVE, SUITE 5C, SHREVEPORT, LA 71103-3920
(318) 227-9777
(318) 459-1188
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
19445
AL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
017580
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000039815
—
AL
05
—
0119079
—
MS
01
—
1810010
UHC
AL
01
—
51039815
BCBS OF AL
AL
01
—
5536685
AETNA PROVIDER #
AL
01
—
B65309
HEALTHSPRINGS OF AL
AL
Enumeration date
01/08/2007
Last updated
09/07/2012
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