Individual
DR. MARK ANDREW MYLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
12143
TX
Other
Enumeration date
07/20/2005
Last updated
12/10/2016
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