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Individual

JOE MULLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
6606 LBJ FWY, SUITE 200, DALLAS, TX 75240-6533
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 715-5000

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
255804
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100786000A
OK
05
120044603
TX
05
120044607
TX
01
430030282
RAILROAD MEDICARE
TX
01
8459UD
BCBS
TX
01
86721C
BLUE CROSS BLUE SHIELD
TX
01
8942UG
BCBS
TX
01
P01008220
RAILROAD
TX
01
P01446389
RR
TX
Enumeration date
07/05/2006
Last updated
09/30/2024
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