Michelle M. Mulder, M.D.P.A.

LBN: Michelle M. Mulder, M.D.P.A.
Michelle M. Mulder, M.D.P.A. is an health care organization with primary practice located at 1120 Medical Plaza Dr Suite #150, Shenandoah TX 77380-3242. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Michelle M. Mulder, M.D.P.A. can be contacted via phone (281) 364-1014, or through Mulder, Michelle Mccrocklin via phone (281) 364-1014.

Contact Information

Primary practice address
1120 Medical Plaza Dr Suite #150 Shenandoah TX 77380-3242
Phone: (281) 364-1014
Fax: (281) 292-1014
Website:
Map and Directions
Authorized official contact:
Name: Mulder, Michelle Mccrocklin Doctor of Medicine (MD)
Phone: (281) 364-1014

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X L8851 Texas

Profile Details

NPI number 1255513297
LBN Legal business name Michelle M. Mulder, M.D.P.A.
DBA Doing business as
Authorized official Mulder, Michelle Mccrocklin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 1st, 2007
Last updated Sep 29th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255513297 NPPES
Texas MEDICAID 165580501

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