Individual
MR. MATTHEW ROBERT MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
5306 DOWNS DR, AUSTIN, TX 78721-2206
(210) 663-1622
Mailing address
4303 VICTORY DR, AUSTIN, TX 78704-7507
(512) 462-3627
(512) 462-3431
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
766565
TX
363L00000X
Nurse Practitioner
Primary
AP128329
TX
363LF0000X
Family Nurse Practitioner
AP128329
TX
Other
Enumeration date
06/15/2015
Last updated
04/29/2026
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