Provider Demographics
NPI:1689684904
Name:MUELLER, THOMAS E (MD)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:E
Last Name:MUELLER
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 1:2122 HIGHWAY 71 S STE 101
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:TX
Mailing Address - Zip Code:78934-3011
Mailing Address - Country:US
Mailing Address - Phone:979-732-2318
Mailing Address - Fax:979-732-2310
Practice Address - Street 1:2122 HIGHWAY 71 S
Practice Address - Street 2:101
Practice Address - City:COLUMBUS
Practice Address - State:TX
Practice Address - Zip Code:78934-3011
Practice Address - Country:US
Practice Address - Phone:979-732-2318
Practice Address - Fax:979-732-2310
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE8746207Q00000X, 207V00000X, 207P00000X, 207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX112272305OtherEPSDT
TX133351001Medicaid
TX030552603Medicaid
TX133351001Medicaid
TX8457B7Medicare ID - Type Unspecified
TX112272305OtherEPSDT