Individual
JOHN EDWARD MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1301 W FRANK AVE, LUFKIN, TX 75904-3305
(936) 633-2791
Mailing address
137 KENNER RD, LUFKIN, TX 75904-5265
(936) 639-2694
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00755
TX
Other
Enumeration date
08/04/2006
Last updated
07/08/2007
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