Individual
KALIE IRENE MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
2300 SH-114 STE. 300, TROPHY CLUB, TX 76262
(817) 347-8100
(817) 349-8099
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-6483
(682) 885-3113
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AP142441
TX
Other
Enumeration date
05/22/2019
Last updated
12/14/2023
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