Organization Active NPI

Clifford D. Mullins, D.C., P.C.

  • Clinic/Center
  • Tyler, TX
National Provider Identifier
1023371804
Registry record updated Jun 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
3057 Issued in TX
Legal business name
CLIFFORD D. MULLINS, D.C., P.C.
Practice address
14653 Eastside Rd
Tyler, TX 75707-6729
Phone
(903) 566-4449
NPI assigned
Jun 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Clifford D Mullins, D.C., P.C.
Title
Owner/Chiropractor
Phone
(903) 566-4449

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 3057 TX Primary

Addresses

Primary practice location

14653 Eastside Rd
Tyler, TX 75707-6729

Mailing address

14653 Eastside Rd
Tyler, TX 75707-6729
Phone (903) 566-4449

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339977600000",
    "number": "1023371804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14653 EASTSIDE RD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757076729",
            "telephone_number": "903-566-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14653 EASTSIDE RD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757076729",
            "telephone_number": "903-566-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIFFORD D. MULLINS, D.C., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-18",
        "last_updated": "2012-06-18",
        "status": "A",
        "authorized_official_last_name": "MULLINS",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "903-566-4449",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C., P.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "3057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.