Organization
THOMAS MULHOLLAN MD PA
Active
Other names
TJM Molecular Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE SMITH (MANAGER)
(940) 384-6270
Entity
Organization
Contact information
Practice address
1600 SCRIPTURE ST, DENTON, TX 76201-3809
(940) 384-6270
Mailing address
PO BOX 1867, DENTON, TX 76202-1867
(940) 384-6270
(940) 382-7680
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
162087401
—
TX
05
—
200014670A
—
OK
Enumeration date
06/09/2006
Last updated
01/19/2012
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