Individual
KEALI MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1619 HIGHWAY 206, CISCO, TX 76437-6447
(254) 442-8802
Mailing address
1619 HIGHWAY 206, CISCO, TX 76437-6447
(254) 442-8802
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP144052
TX
Other
Enumeration date
11/17/2019
Last updated
01/05/2026
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