Individual
DR. THOMAS JAMES MULHEARN IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 DR MICHAEL DEBAKEY DR, LAKE CHARLES, LA 70601-5727
(337) 436-3813
(337) 439-0214
Mailing address
501 DR MICHAEL DEBAKEY DR, LAKE CHARLES, LA 70601-5724
(337) 312-8258
(337) 312-6708
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD.204430
LA
207RC0000X
Cardiovascular Disease Physician
MD.204430
LA
207RI0011X
Interventional Cardiology Physician
Primary
MD.204430
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2007-00371
MD LICENSE NUMBER
NC
05
—
2152092
—
LA
01
—
MD.30257
MD LICENSE NUMBER
AL
Enumeration date
01/24/2007
Last updated
05/19/2025
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