Craig McMullen, M.D.
Individual provider Active NPI Family Medicine Physician · Mineola, TX
NPI 1487614616 · NPPES record last updated Dec 13, 2022
Key facts
- NPI
- 1487614616
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- L6742 (TX)
- Practice address
- 1220 N Pacific St
Mineola, TX 75773-1054 - Phone
- (903) 569-6124
- Fax
- (903) 567-2467
- NPI assigned
- Mar 23, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Texas Medical School at San Antonio, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Quitman Hospital LLC
Practice addresses (Care Compare)
1220 N Pacific St
Mineola, TX 75773-1054
Phone (903) 569-6124
Hospital & facility affiliations
- Ut Health East Texas Home Health Services
- Enhabit Home Health
- Ut Health East Texas Home Health Services
- Ut Health East Texas Quitman Hospital
- Ut Health East Texas Tyler Regional Hospital
- University of Texas Health Science Center at Tyler
- Ut Health East Texas Carthage Hospital
- Christus Mother Frances Hospital
- Ut Health East Texas Rehabilitation Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051109001123 | TX | Practitioner - Family Practice |
5698793438 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L6742 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quitman Hospital LLC | Current |
Accepting new patients | |
| Quitman Hospital LLC | Current |
Accepting new patients | |
| Etmc Physician Group Inc. | Current |
Accepting new patients | |
| Etmc Physician Group Inc. | Current |
Accepting new patients | |
| Quitman Hospital LLC | Past | Accepting new patients | |
| Starks Medical | Past | Accepting new patients |
Locations
340 Seven Springs Way
Ste 100
Brentwood, TN 37027
Phone (615) 296-3000
406 E State Highway 243
Canton, TX 75103
Phone (903) 567-4784
409 Cottage Rd
Carthage, TX 75633
Phone (903) 693-3841
702 Davis St
Carthage, TX 75633
Phone (903) 693-3841
305 Cottage Rd
Carthage, TX 75633
Phone (903) 690-9100
18118 FM 344 W
Flint, TX 75762
Phone (903) 825-3292
2114 E Rusk St
Jacksonville, TX 75766
Phone (903) 284-6105
1220 N Pacific St
Mineola, TX 75773
Phone (903) 569-0610
117 N Winnsboro St
Quitman, TX 75783
Phone (903) 763-4505
1000 S Beckham Ave
Tyler, TX 75701
Phone (903) 526-1068
6210 S Broadway Ave
Tyler, TX 75703
Phone (903) 579-2700
Interoperability endpoints
- cmcmullen355510@ahs.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | L6742 | TX | Yes |
Addresses
Primary practice location
1220 N Pacific St
Mineola, TX 75773-1054
Mailing address
1220 N Pacific St
Mineola, TX 75773-1054
Phone (903) 569-6124
Other practice location 1
305 Cottage Rd
Carthage, TX 75633-1511
Phone (903) 694-4948
Other providers in Mineola, TX
- Mack C Long III
- LS Mineola Operator LLC
- Lowell Main
- Shajuana Marry
- Charles P McGonagill
- Metx, LLC
- Conner Miellmier
- Traci Layne Miller
- Mineola Counseling Services
- Mineola Dental PLLC
All providers in Mineola, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.