Individual provider · Type 1 NPI

John Edward Mullen, PHYSICIAN ASSISTANT

Medical Physician Assistant · Lufkin, TX

NPI number 1689682759 Active

Practice location

1301 W Frank Ave
Lufkin, TX 75904-3305

Mailing address

137 Kenner Rd
Lufkin, TX 75904-5265

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA00755 (TX)

Medical Physician Assistant: Definition to come...

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About NPI 1689682759

John Edward Mullen, PHYSICIAN ASSISTANT's National Provider Identifier is 1689682759, issued on Aug 4, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lufkin, TX. The record was last updated on Jul 8, 2007.