Individual
JACKIE A. MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3337 PLAINVIEW ST, SUITE 8, PASADENA, TX 77504-1988
(713) 941-6083
(713) 941-6086
Mailing address
3337 PLAINVIEW ST, SUITE 8, PASADENA, TX 77504-1988
(713) 941-6083
(713) 941-6086
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G5415
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117605901
—
TX
Enumeration date
07/07/2006
Last updated
04/15/2013
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