Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NP0017X | Pediatric Chiropractor | 12529 | TX |
NPI | 1760871248 |
---|---|
Provider Name | Dr. Whitney Mullins |
First Address | Dallas, TX 75246-1312 |
Second Address | Dallas, TX 75246-1312 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/01/2015 |
Last Update Date | 21/01/2015 |