Individual
MR. SHANNON RAY MUELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1201 MEDICAL PLAZA CT, GRANBURY, TX 76048-5684
(817) 578-8555
(817) 573-6234
Mailing address
1201 MEDICAL PLAZA CT, GRANBURY, TX 76048-5684
(817) 578-8555
(817) 573-6234
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
DPM 1659
TX
213ES0131X
Foot Surgery Podiatrist
DPM 1659
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
162842201
—
TX
Enumeration date
07/07/2005
Last updated
02/12/2016
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