CANDACE LEANN MULLENS (NPI# 1356864722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356864722 |
| Entity Type | Individual |
| Full Name | CANDACE LEANN MULLENS |
| Credential | MS, PA-C |
| Practice Address |
2005 West Park Dr. Ste. 100 Irving TX 75061 |
| Mailing Address |
800 Orthopedic Way Arlington TX 76015-1629 |
| Practice Telephone | 8173755200 |
| Mailing Telephone | 8173755375 |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2019-04-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA12461 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 54792 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA12461 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2005 WEST PARK DR. STE. 100 |
| City | IRVING |
| State | TX |
| Zip Code | 75061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265925192 | Health Texas Provider Network | Durable Medical Equipment & Medical Supplies | 2021 N Macarthur Blvd Ste 300, Irving, TX 75061 | 2018-06-14 |
| 1922489541 | Azmat Shah | Clinical Medical Laboratory | 813 N. O'connor Road, Irving, TX 75061 | 2015-06-10 |
| 1689060261 | James Justin Walker | Specialist/Technologist | 900 O'connor Road, Irving, TX 75061 | 2015-04-10 |
| 1790171379 | Casey Elder | Specialist/Technologist | 900 North O'connor, Irving, TX 75061 | 2015-04-10 |
| 1720479900 | Jack C Lewis Jr. | Counselor | 4120 Hackmore Loop, Irving, TX 75061 | 2015-02-10 |
| 1972931186 | Linda Kottoor | Nurse Practitioner | 1800 North Britain Road, Irving, TX 75061 | 2013-10-24 |
| 1033457080 | Edel H Cruz Rosales | Hearing Instrument Specialist | 613 North O'connor Rd, Suite 29, Irving, TX 75061 | 2013-01-26 |
| 1346520293 | Tau Healing Services | Counselor | 1615 Cooper Dr., Irving, TX 75061 | 2011-08-24 |
| 1144520412 | Gibson Pharmacy | Pharmacy | 815 N. Oconnor, Irving, TX 75061 | 2010-11-02 |
| 1104147982 | John Yaft | Internal Medicine | 2001 Macarthur Blvd, Suite 520, Irving, TX 75061 | 2010-06-16 |
| Find all providers in zip 75061 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588002653 | Sr Surgical Assistants, LLC | Physician Assistant | 5005 W Royal Ln Ste 196, Irving, TX 75063-1959 | 2013-06-11 |
| 1144481110 | First Surgical Associates, P.C. | Physician Assistant | 2020 Lawndale Dr, Irving, TX 75063-3913 | 2008-06-22 |
| 1477749877 | Hunter Spingola Buchmann & Brown Partnership | Physician Assistant | 440 W Interstate Highway 635 Ste 445, Irving, TX 75063-3811 | 2007-09-19 |
| 1023055597 | Amanda Cottrell | Physician Assistant | 2120 N Macarthur Blvd Ste 100, Irving, TX 75061-2260 | 2006-06-01 |
| 1790336535 | Akrn Pa | Physician Assistant | 440 W Lbj Fwy Ste 465, Irving, TX 75063-3869 | 2019-09-23 |
| 1205335858 | Camille Marie Small | Physician Assistant | 400 W Lbj Fwy Ste 330, Irving, TX 75063-3717 | 2018-02-09 |
| 1346771748 | Michael Mckelva | Physician Assistant | 2120 N Macarthur Blvd, Suite 100, Irving, TX 75061-2221 | 2017-03-27 |
| 1033564620 | Apa Medical Services, Pllc | Physician Assistant | 5005 W Royal Ln, Suite 196, Irving, TX 75063-1996 | 2016-05-02 |
| 1346646577 | Ntx Assist, Pllc | Physician Assistant | 5005 W Royal Ln, Suite 196, Irving, TX 75063-1996 | 2014-11-17 |
| 1689082604 | Natali C Thornburg | Physician Assistant | 400 W Lbj Fwy, Suite 330, Irving, TX 75063-3718 | 2014-07-23 |
| Find all providers in IRVING | ||||
Please comment or provide details below to improve the information on CANDACE LEANN MULLENS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.