Individual
AMY L MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
601 HWY 110 N, BAY O, WHITEHOUSE, TX 75791-3037
(903) 839-2585
(903) 839-3165
Mailing address
PO BOX 5500, TYLER, TX 75712-5500
(903) 324-6450
(903) 593-7852
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L1139
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145481102
—
TX
05
—
145481104
—
TX
Enumeration date
02/22/2006
Last updated
04/04/2012
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