Individual
MR. CRAIG DAVID MUELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
5212 W 7TH ST, WAKE VILLAGE, TX 75501-5930
(903) 831-6848
(903) 223-7089
Mailing address
2101 GALLERIA OAKS DR, TEXARKANA, TX 75503-4625
(903) 791-9120
(903) 791-9132
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
652397
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154712758
—
AR
05
—
167645401
—
TX
05
—
200035390A
—
OK
01
—
82827
BLUE SHIELD
AR
01
—
8N7142
BLUE SHIELD
TX
Enumeration date
07/14/2006
Last updated
02/04/2013
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