MARY ANN MULLICAN MD NPI 1619934015

NPI Information

  • NPI: 1619934015
  • Provider Name: MARY ANN MULLICAN, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5323 HARRY HINES BLVD
    DEPARTMENT OF RADIOLOGY
    DALLAS, TX
    ZIP 75390
  • Phone: (214) 648-8018

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NPI Details

Mary Ann Mullican, MD is a diagnostic radiology radiology in Dallas, TX with 59 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Mary Ann Mullican, MD NPI is 1619934015. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduation Year:1966

The provider's business location address is:

5323 HARRY HINES BLVD
DEPARTMENT OF RADIOLOGY
DALLAS, TX
ZIP 75390-896
Phone: (214) 648-8018
Fax: (214) 648-2678

The NPI 1619934015 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 1 view (HCPCS:71045)
  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of ribs on side of body, minimum of 3 views (HCPCS:71101)

The enumeration date for this NPI number is 4/28/2006 and was last updated on 3/25/2011.

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
12085R0202XRadiologyDiagnostic RadiologyD4534TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1114188903MEDICAIDTEXAS
2E21000MEDICARE UPIN
387R685MEDICARE ID-TYPE UNSPECIFIEDTEXAS

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: 3/30/2025

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