Individual
BRENDA KRIS MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1211 N SHARTEL AVE, SUITE 1000, OKLAHOMA CITY, OK 73103-2400
(405) 843-5855
(405) 843-5865
Mailing address
DEPT 96-0485, OKLAHOMA CITY, OK 73196-0485
(405) 843-5855
(405) 843-5865
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
19064
OK
207RI0011X
Interventional Cardiology Physician
Primary
19064
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100094930C
—
OK
Enumeration date
06/13/2005
Last updated
11/02/2020
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