Organization
DONALD L. MULDER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD L. MULDER M.D. (DOCTOR)
(361) 668-0618
Entity
Organization
Contact information
Practice address
700 FLOURNOY RD STE 2, ALICE, TX 78332-4088
(361) 668-0618
(361) 668-9677
Mailing address
700 FLOURNOY RD STE 2, ALICE, TX 78332-4088
(361) 668-0618
(361) 668-9677
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
J6182
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123994903
—
TX
01
—
U27S
BLUE CROSS BLUE SHIELD NU
TX
Enumeration date
02/14/2008
Last updated
04/23/2008
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