Search › Texas › 101YA0400X
Kelly Mullins, LCDC
NPI 1598152795 · on the registry since 2015
Practice
- Address
- 1509 Emerald Pkwy
College Station, TX 77845 - Phone
- (979) 703-8292
- Organisation at this address
- Matthews Dental Group, Pa
Jacob A Rendon, D.D.S., P.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-04-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas