| NPI | 1013130426 |
|---|---|
| Doing Business As | MULLANAX DERMATOLOGY ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | MILTON GAYLE MULLANAX Owner 817-261-1626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX D1750) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2009-06-25 |