Provider Demographics
NPI:1376868760
Name:MUELLER, JESSICA CRAWFORD (MD)
Entity Type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:CRAWFORD
Last Name:MUELLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1180 SETON PKWY
Mailing Address - Street 2:SUITE 340
Mailing Address - City:KYLE
Mailing Address - State:TX
Mailing Address - Zip Code:78640-6178
Mailing Address - Country:US
Mailing Address - Phone:512-504-0851
Mailing Address - Fax:512-504-0852
Practice Address - Street 1:1180 SETON PKWY
Practice Address - Street 2:SUITE 340
Practice Address - City:KYLE
Practice Address - State:TX
Practice Address - Zip Code:78640-6178
Practice Address - Country:US
Practice Address - Phone:512-504-0851
Practice Address - Fax:512-504-0852
Is Sole Proprietor?:No
Enumeration Date:2010-03-29
Last Update Date:2015-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP1- 0036616207V00000X
TXP9231207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX339984202Medicaid
TX339984201Medicaid
TX368176YMGJMedicare PIN
TX339984201Medicaid