Individual
MR. EDMUND PATRICK MULLIN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4504
(210) 916-1284
(210) 916-7323
Mailing address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4504
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0101277518
VA
Other
Enumeration date
02/05/2021
Last updated
02/06/2023
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