Individual provider · Type 1 NPI

Justin Donald Mullinnix, B.S

Student in an Organized Health Care Education/Training Program · College Station, TX

NPI number 1265989099 Active

Practice location

12 John David Crow Blvd
College Station, TX 77843-0001

Call (979) 218-7743 Map

Mailing address

15311 Hazy Meadow Ct, Unit A
College Station, TX 77845-4181

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Athletic Trainer 2255A2300XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1265989099

Justin Donald Mullinnix, B.S's National Provider Identifier is 1265989099, issued on Sep 9, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in College Station, TX. The record was last updated on Oct 14, 2016.