Mullen, Shaun Michael
Mullen, Shaun Michael is an individual health care provider with primary practice located at 17270 Red Oak Dr Suite 200, Houston TX 77090-2632. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Mullen, Shaun Michael can be contacted via phone (281) 440-6960.Contact Information
Primary practice address
17270 Red Oak Dr Suite 200
Houston TX 77090-2632
Phone: (281) 440-6960
Fax: (281) 440-6205
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA00767 | Texas |
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA00767 | Texas |
Profile Details
NPI number | 1083670699 |
---|---|
LBN Legal business name | Mullen, Shaun Michael |
Credentials | PAC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 22nd, 2006 |
Last updated | Mar 7th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1083670699 | NPPES |
Texas | Other | PA00767 | TEXAS LICENSE |
Texas | Other | XO131852 | TEXAS LICENSE |
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