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Individual

GINA P MULLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
13737 NOEL RD, SUITE 1600, DALLAS, TX 75240
(800) 362-2731
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
Q0999
TX
390200000X
Student in an Organized Health Care Education/Training Program
GA

Other

Enumeration date
06/06/2011
Last updated
06/20/2019
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