Mary A. Mullican (NPI# 1619934015, PAC ID# 9234266156) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1619934015 |
| PAC ID by PECOS | 9234266156 |
| Professional Enrollment ID | I20100426000382 |
| Full Name | Mary A. Mullican |
| Organization Legal Name | UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS |
| Address |
400 W Magnolia Ave Fort Worth TX 76104-7617 |
| Phone Number | 8172889800 |
| Gender | F |
| Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
| Graduation Year | 1966 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 0648188250 |
| Number of Group Practice Members | 2038 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450044 | UT SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR. |
| 450015 | PARKLAND HEALTH & HOSPITAL SYSTEM |
| 450766 | U.T. SOUTHWESTERN UNIVERSITY HOSPITAL - ZALE LIPSHY |
| Address | Phone | Organization |
|---|---|---|
| 400 W Magnolia Ave, Fort Worth, TX 76104-7617 | 8172889800 | UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS |
| Organization Legal Name | UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS |
| Physicians | 2222 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chika R Nwachukwu | Radiation Oncology | University of Texas Southwestern Medical Center At Dallas | 2280 Inwood Rd, Dallas, TX 75235-7321 |
| Alvin A Chandra | Internal Medicine | University of Texas Southwestern Medical Center At Dallas | 6201 Harry Hines Blvd, Dallas, TX 75235-5202 |
| Russell Andrew Payne | Neurosurgery | University of Texas Southwestern Medical Center At Dallas | 8230 Walnut Hill Ln 514 Bldg, 3 University of Texas Southwestern Medical Center Ne, Dallas, TX 75231-4407 |
| Alka Khera | Neurology | University of Texas Southwestern Medical Center At Dallas | 5184 Tex Oak Ave, Dallas, TX 75235-7822 |
| Alexander Gordon Cole | Psychiatry | University of Texas Southwestern Medical Center At Dallas | 5151 Harry Hines Blvd, Dallas, TX 75390-7707 |
| Tomas Garzon-muvdi | Neurosurgery | University of Texas Southwestern Medical Center At Dallas | 4500 S Lancaster Rd, Dallas, TX 75216-7167 |
| Xiaosong Meng | Urology | University of Texas Southwestern Medical Center At Dallas | 12500 Dallas Pkwy, Frisco, TX 75033-4229 |
| Victoria Udezi | Family Medicine | University of Texas Southwestern Medical Center At Dallas | 5920 Forest Park Rd, Dallas, TX 75235-6411 |
| Hoa T Vo | Psychologist, Clinical | University of Texas Southwestern Medical Center At Dallas | 6333 Forest Park Dr, Dallas, TX 75390-9087 |
| Amanda Pritchett | Clinical Social Worker | University of Texas Southwestern Medical Center At Dallas | 6363 Forest Park Rd 7th Fl, 749 Univ of Tx Sw Med Ctr Psych, Dallas, TX 75390-9087 |
| Street Address |
400 W MAGNOLIA AVE |
| City | FORT WORTH |
| State | TX |
| Zip | 76104-7617 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary B Morgan | Nurse Practitioner | University of Texas Southwestern Medical Center At Dallas | 400 W Magnolia Ave, Fort Worth, TX 76104-7617 |
| Michael J Landay | Diagnostic Radiology | University of Texas Southwestern Medical Center At Dallas | 400 W Magnolia Ave, Fort Worth, TX 76104-7617 |
| Jessica Lee | Obstetrics/gynecology | University of Texas Southwestern Medical Center At Dallas | 400 W Magnolia Ave, Fort Worth, TX 76104-7617 |
| Lindsay M Compton | Diagnostic Radiology | University of Texas Southwestern Medical Center At Dallas | 400 W Magnolia Ave, Fort Worth, TX 76104-7617 |
| Stephen W. Kircher | Diagnostic Radiology | University of Texas Southwestern Medical Center At Dallas | 400 W Magnolia Ave, Fort Worth, TX 76104-7617 |
| Diane M Twickler | Diagnostic Radiology | University of Texas Southwestern Medical Center At Dallas | 400 W Magnolia Ave, Fort Worth, TX 76104-7617 |
| Lena A Omar | Diagnostic Radiology | University of Texas Southwestern Medical Center At Dallas | 400 W Magnolia Ave, Fort Worth, TX 76104-7617 |
| Jody Coleman Hayes | Diagnostic Radiology | University of Texas Southwestern Medical Center At Dallas | 400 W Magnolia Ave, Fort Worth, TX 76104-7617 |
| Glenn Lee Pride Jr. | Interventional Radiology | University of Texas Southwestern Medical Center At Dallas | 400 W Magnolia Ave, Fort Worth, TX 76104-7617 |
| Jessica H Porembka | Diagnostic Radiology | University of Texas Southwestern Medical Center At Dallas | 400 W Magnolia Ave, Fort Worth, TX 76104-7617 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven E Prouty | Psychologist, Clinical | Deer Oaks Geriatric Services P C | 424 S Adams, Fort Worth, TX 76104-1003 |
| Ginna K Kaplan | Clinical Social Worker | Deer Oaks Geriatric Services P C | 424 S Adams, Fort Worth, TX 76104-1003 |
| Prashanthi J Giridhar | Ophthalmology | Pediatric Eye Specialists LLP | 321 S Henderson St, Fort Worth, TX 76104-1016 |
| Bowlva Michael Lee | Pain Management | Institute of Spine and Pain Solutions Pllc | 416 S Henderson St, Fort Worth, TX 76104-1017 |
| Travis A Foster | Vascular Surgery | 412 S Henderson St, Fort Worth, TX 76104-1017 | |
| Joseph Elvis Guinn | Vascular Surgery | 412 S Henderson St, Fort Worth, TX 76104-1017 | |
| Bryan J Skulpoonkitti | Anesthesiology | Institute of Spine and Pain Solutions Pllc | 416 S Henderson St, Fort Worth, TX 76104-1017 |
| Jonathan D Riddle | Certified Registered Nurse Anesthetist (crna) | 412 S Henderson St, Fort Worth Vascular Surgical, Fort Worth, TX 76104-1017 | |
| Karim M Meghani | Physical Medicine and Rehabilitation | 425 Alabama Ave, Fort Worth, TX 76104-1022 | |
| Catherine A Colquitt | Infectious Disease | 425 Alabama Ave, Fort Worth, TX 76104-1022 | |
| Find all physicians in zip 76104 | |||
| City | FORT WORTH |
| Zip Code | 76104 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | FORT WORTH + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Mary A. Mullican.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.