Individual
COLLIN MULCAHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
S9356
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
427911901
—
TX
01
—
427911902
MEDICAID CSHCN
TX
Enumeration date
04/11/2016
Last updated
11/11/2021
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