Donald L. Mulder, P.a.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

J6182 Issued in TX

Legal business name

DONALD L. MULDER, P.A.

Practice address

700 Flournoy Rd Ste 2
Alice, TX 78332-4088

Phone

(361) 668-0618

Fax

(361) 668-9677

NPI assigned

Feb 14, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Donald L. Mulder, M.D.

Title

Doctor

Phone

(361) 668-0618

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1639347446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 FLOURNOY RD STE 2",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324088",
            "telephone_number": "361-668-0618",
            "fax_number": "361-668-9677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 FLOURNOY RD STE 2",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324088",
            "telephone_number": "361-668-0618",
            "fax_number": "361-668-9677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD L. MULDER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-14",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "MULDER",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "361-668-0618",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "TX",
            "license": "J6182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123994903",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD NU",
            "identifier": "U27S",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dialysis Management Corporation (Bay Area Dialysis-Alice)
• Annie M Diaz, FNP-C
• Kristin Leni Dillon, NP-C
• Jaroslav Dolezal, D.D.S.
• Dominican Sisters of Saint Thomas Aquinas (Hosanna Adult Day Care)
• James W Dorsett, LCDC
• Gerald Richard Dorsey, DDS
• Dr. Roel Garza and Associates Family Dentistry
• Mary Lisa Duarte, APRN, PMHNP-BC
• Nicholas Dunman, PHARMD

• General Practice Physician in Alice, TX
• Providers in Alice, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; 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.