Provider Demographics
NPI:1346594538
Name:MULLINAX, CINDY
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:
Last Name:MULLINAX
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10700 ROLATER RD
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-2972
Mailing Address - Country:US
Mailing Address - Phone:972-712-8652
Mailing Address - Fax:
Practice Address - Street 1:10700 ROLATER RD
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-2972
Practice Address - Country:US
Practice Address - Phone:972-712-8652
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-09
Last Update Date:2023-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN06003594A225200000X
TX2153351225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant