Provider Demographics
NPI:1598754871
Name:MULLINS, JAMES BYRON (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:BYRON
Last Name:MULLINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7449 LAS COLINAS BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-7561
Mailing Address - Country:US
Mailing Address - Phone:972-432-8282
Mailing Address - Fax:972-432-0552
Practice Address - Street 1:7449 LAS COLINAS BLVD STE 100
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-7561
Practice Address - Country:US
Practice Address - Phone:972-432-8282
Practice Address - Fax:972-432-0552
Is Sole Proprietor?:No
Enumeration Date:2005-10-19
Last Update Date:2015-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK8361207Y00000X
ARC7724207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
0053LYOtherBCBS
3670597OtherAETNA MD
5152605OtherPPO
3656845013OtherCIGNA
3656845013OtherCIGNA
TX00767XMedicare ID - Type Unspecified