Brian Wade Mullins LAT

NPI 1023225984 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1023225984
Gender Male
Enumeration Date 05/17/2007
Last Updated 11/30/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
7000 W 9TH AVE
AMARILLO TX, 79106-1709, US
Phone (806) 350-2663
Business Location
CANYON TX, 79015-3213, US
Phone (512) 461-3932
Taxonomy Code 2255A2300X
License State Texas
License Number AT3622
Remove 1023225984 NPI Number

According to our database, Brian Wade Mullins LAT NPI is 1023225984, taxonomy code is 2255A2300X and license number is AT3622, license state is located at Texas. Brian Wade Mullins LAT physically located at 7000 W 9th Ave, Amarillo TX, 79106-1709. NPI Number Brian Wade Mullins LAT has the Individual type.

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1023225984 NPI number is provided on an as is basis without warranty of any kind. 1023225984 is maintained by the National Plan & Provider Enumeration System. The contents of Brian Wade Mullins LAT are for informational purposes only.