Most Relevant Information
Provider Data
NPI Number: | 1003216755 |
Provider Name: | AMBER MULLINS |
Entity Type: | Individual |
Taxonomy Code: | 363LF0000X |
Specialty: | Nurse Practitioner |
License Number: | AP126263 |
Most Important Dates
Enumeration Date: | 08/31/2014 |
Last Updated: | 04/29/2019 |
Provider Practice Location
4203 S CARRIER PKWY
GRAND PRAIRIE
TX
75052
Practice Location Phone/Fax
Phone: | 9726423190 |
Fax: |
Provider Mailing Location
4203 S CARRIER PKWY
GRAND PRAIRIE
TX
750523203
Provider Mailing Phone/Fax
Phone: | |
Fax: |