Individual
CANDACE L MULLENS
Active
Individual
CANDACE L MULLENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PA-C
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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