Provider Demographics
NPI:1205943222
Name:MUELLER, ERICA (DC)
Entity type:Individual
Prefix:DR
First Name:ERICA
Middle Name:
Last Name:MUELLER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1602 SANDY POINT RD
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-5488
Mailing Address - Country:US
Mailing Address - Phone:469-525-4027
Mailing Address - Fax:469-519-5444
Practice Address - Street 1:1602 SANDY POINT RD
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-5488
Practice Address - Country:US
Practice Address - Phone:469-525-4027
Practice Address - Fax:469-519-5444
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-24
Last Update Date:2008-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8525111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX608215OtherBCBS PIN
V11889Medicare UPIN
TX612719Medicare PIN