Organization
BROOKS M MULLEN, MD PA
Active
Parent organization
BROOKS M MULLEN, MD PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
BROOKS M MULLEN, MD PA
Authorized official
BROOKS M MULLEN M.D. (PRESIDENT)
(830) 372-0307
Entity
Organization
Contact information
Practice address
3349 S HIGHWAY 181, BONNSTETTER BUILDING, SUITE A, KENEDY, TX 78119-5247
(830) 372-0307
(830) 372-2153
Mailing address
908 E COURT STREET, SUITE 2 & 4, SEGUIN, TX 78155-5850
(830) 372-0307
(830) 372-2153
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
F9859
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578558938
NPI
TX
Enumeration date
05/22/2013
Last updated
05/22/2013
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