Healthcare Provider Details

I. General information

NPI: 1003699448
Provider Name (Legal Business Name): MUELLER OPHTHALMOLOGY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2023
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 BRYANT IRVIN RD STE 216
FORT WORTH TX
76109-4153
US

IV. Provider business mailing address

4000 BRYANT IRVIN RD STE 216
FORT WORTH TX
76109-4153
US

V. Phone/Fax

Practice location:
  • Phone: 682-267-2020
  • Fax:
Mailing address:
  • Phone: 682-267-2020
  • Fax: 682-244-2204

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QS0132X
TaxonomyOphthalmologic Surgery Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. BRETT H MUELLER II
Title or Position: FOUNDER & CEO
Credential: D.O., PH.D.
Phone: 682-267-2020