Healthcare Provider Details

I. General information

NPI: 1760871248
Provider Name (Legal Business Name): WHITNEY MULLINS D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/21/2015
Last Update Date: 01/21/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4310 GASTON AVE SUITE 200
DALLAS TX
75246-1312
US

IV. Provider business mailing address

4310 GASTON AVE SUITE 200
DALLAS TX
75246-1312
US

V. Phone/Fax

Practice location:
  • Phone: 469-249-2335
  • Fax:
Mailing address:
  • Phone: 469-249-2335
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NP0017X
TaxonomyPediatric Chiropractor
License Number12529
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: