Organization
GISELA MUELLER
Active
Other names
Mission Outpatient Services
Organization subpart
No
Provider details
NPI number
Authorized official
GISELA MARIA MUELLER PT (OWNER)
(806) 792-7125
Entity
Organization
Contact information
Practice address
1901 W LOOP 289, SUITE 3, LUBBOCK, TX 79407-1713
(806) 792-7125
(806) 792-7121
Mailing address
1901 W LOOP 289, SUITE 3, LUBBOCK, TX 79407-1713
(806) 792-7125
(806) 792-7121
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
1007326
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1007326
PT LICENSE
TX
Enumeration date
01/21/2010
Last updated
08/14/2010
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