Individual
DR. EDWARD PATRICK MULLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, OCS, SCS, A
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-8876
(214) 648-1553
Mailing address
1901 PINTAIL PKWY, EULESS, TX 76039-2183
(817) 739-8481
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1032399
LICENSE#
TX
Enumeration date
11/28/2006
Last updated
05/30/2012
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