Individual
JENNIFER MULLICAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1301 SUMMER LEE DR, ROCKWALL, TX 75032-5452
(972) 771-8111
Mailing address
19212 LUEDTKE LN, PFLUGERVILLE, TX 78660-5022
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10951
TX
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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