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NPI Code Detail

MEDICARE: CHRISTINA ANGELIQUE MULLER-GONZALES

MEDICARE: CHRISTINA ANGELIQUE MULLER-GONZALES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker

General Provider Information

NPI Number : 1124140447
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA ANGELIQUE MULLER-GONZALES
Provider Business Mailing Address
First Line : 18725 DALLAS PKWY
Second Line : APT 1022
City : DALLAS
State : TX
Zip : 75287-4239
Country : US
Telephone Number : 214-783-1000
Fax Number :
Provider Business Practice Location Address
First Line : 901 S ERVAY ST
Second Line :
City : DALLAS
State : TX
Zip : 75201-6419
Country : US
Telephone Number : 214-939-3933
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2007
Last Update Date : 07/08/2007

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Directions to “ CHRISTINA ANGELIQUE MULLER-GONZALES ” Practice Location

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