Individual
DR. JAMES E MAULDIN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2904 N 4TH ST, SUITE 101, LONGVIEW, TX 75605-5129
(903) 753-4603
(903) 757-5045
Mailing address
2904 4TH ST STE 101A, LONGVIEW, TX 75605-5129
(903) 753-4603
(903) 757-5045
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
F9792
TX
208D00000X
General Practice Physician
Primary
F9792
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128284007
—
TX
Enumeration date
03/07/2006
Last updated
07/19/2024
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