Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 10149 | TX |
NPI | 1053317933 |
---|---|
Provider Name | Dr. David R Mulherin |
First Address | Houston, TX 77090-2833 |
Second Address | Houston, TX 77090-2833 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2005 |
Last Update Date | 08/07/2007 |