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General NPI Number Information
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NPI Number | 1609866995
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Entity Type | Individual
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Provider Name | NEIL MCMULLIN MD
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Gender | Male
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Dates
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Enumeration Date | 10/27/2005
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | PO BOX 980790
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City | HOUSTON
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State | TX
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Zip | 77098-0790
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Country | US
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Telephone | 281-741-5910
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Fax | 173-583-1113
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Provider Business Mailing Address
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Address Line | PO BOX 980790
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City | HOUSTON
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State | TX
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Zip | 77098-0790
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Country | US
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Telephone | 281-741-5910
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Fax | 713-583-1113
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | 2018-02056
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | DR.0071318
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | P8948
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License Number State | TX
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