Individual
TED B MUILENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3900 LA BRANCH ST, HOUSTON, TX 77004-4046
(713) 524-3949
(713) 524-3915
Mailing address
3900 LA BRANCH ST, HOUSTON, TX 77004-4046
(713) 524-3949
(713) 524-3915
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
407
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
086146001
—
TX
Enumeration date
05/02/2007
Last updated
07/08/2007
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