Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | K6489 | TX |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | K6489 | TX |
NPI | 1194732602 |
---|---|
Provider Name | Mark S Muller |
First Address | Dallas, TX 75231-0805 |
Second Address | Dallas, TX 75231-0805 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2006 |
Last Update Date | 04/05/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200503501 | (05) | TX |
8BQ940 | BCBS (01) | TX |
P01074977 | MEDICARE RAILROAD (01) | TX |