Individual
CANDACE L MULLENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PA-C
Contact information
Practice address
5323 HARRY HINES BLVD STOP 7200, DALLAS, TX 75390-7200
(214) 648-3111
Mailing address
215 OLD HIGHWAY 1187, BURLESON, TX 76028-0281
(817) 926-2663
(817) 293-8860
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
54792
CA
363A00000X
Physician Assistant
PA12461
TX
363AS0400X
Surgical Physician Assistant
Primary
PA12461
TX
Other
Enumeration date
07/18/2017
Last updated
12/13/2025
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