Provider Demographics
NPI:1639126568
Name:MULCHIN, WILLIAM LLOYD (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:LLOYD
Last Name:MULCHIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3900 W 15TH ST
Mailing Address - Street 2:#408
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-7751
Mailing Address - Country:US
Mailing Address - Phone:972-867-3928
Mailing Address - Fax:972-596-4056
Practice Address - Street 1:3900 W 15TH ST
Practice Address - Street 2:#408
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-7751
Practice Address - Country:US
Practice Address - Phone:972-867-3928
Practice Address - Fax:972-596-4056
Is Sole Proprietor?:No
Enumeration Date:2006-05-27
Last Update Date:2007-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF2346208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB25017Medicare UPIN
TX00EM14Medicare PIN