Individual
COREY MULDROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(214) 590-8000
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(817) 808-7085
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
758972
TX
Other
Enumeration date
01/07/2014
Last updated
04/27/2017
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