| Donald L. Mulder, P.a. | |
|
700 Flournoy Rd Ste 2 Alice TX 78332-4088 | |
| (361) 668-0618 | |
| (361) 668-9677 |
| Full Name | Donald L. Mulder, P.a. |
|---|---|
| Speciality | General Practice |
| Location | 700 Flournoy Rd Ste 2, Alice, Texas |
| Authorized Official Name and Position | Donald L. Mulder (DOCTOR) |
| Authorized Official Contact | 3616680618 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Donald L. Mulder, P.a. 700 Flournoy Rd Ste 2 Alice TX 78332-4088 Ph: (361) 668-0618 | Donald L. Mulder, P.a. 700 Flournoy Rd Ste 2 Alice TX 78332-4088 Ph: (361) 668-0618 |
| NPI Number | 1639347446 |
|---|---|
| Provider Enumeration Date | 02/14/2008 |
| Last Update Date | 04/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639347446 | NPI | - | NPPES |
| 123994903 | Medicaid | TX | |
| U27S | Other | TX | BLUE CROSS BLUE SHIELD NU |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | J6182 (Texas) | Primary |
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