Mullins, Jackie A.
Mullins, Jackie A. is an individual health care provider with primary practice located at 3337 Plainview St Suite 8, Pasadena TX 77504-1988. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Mullins, Jackie A. can be contacted via phone (713) 941-6083.Contact Information
Primary practice address
3337 Plainview St Suite 8
Pasadena TX 77504-1988
Phone: (713) 941-6083
Fax: (713) 941-6086
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | G5415 | Texas |
Profile Details
| NPI number | 1972535805 |
|---|---|
| LBN Legal business name | Mullins, Jackie A. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Apr 15th, 2013 - about 12 years ago |
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 | 1972535805 | NPPES |
| Texas | MEDICAID | 117605901 |
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