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DR. CASEY MULLEN M.D. NPI 1104184993

NPI Profile

NPI: 1104184993

Provider Name: DR. CASEY MULLEN, M.D.

Classification: Student in an Organized Health Care Education/Training Program - 390200000X

Entity Type: Individual

Address:
4801 ALBERTA AVE
EL PASO, TX
ZIP 79905

Phone: (915) 545-7333

DR. Casey Mullen, M.D. is a student in an organized health care education/training program in El Paso, TX. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Casey Mullen, M.D. NPI is 1104184993. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4801 ALBERTA AVE
EL PASO, TX
ZIP 79905-707
Phone: (915) 545-7333
Fax: (915) 545-7338

The enumeration date for this NPI number is 4/30/2012 and was last updated on 4/30/2012.

Map - Location of Practice

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 390200000X Student in an Organized Health Care Education/Training Program Yes

What is NPI?
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 6/10/2015