CENTRAL TEXAS PULMONARY, PA
Osteopathic Medicine at Common St, New Braunfels, TX

License number
Texas K-9776
Category
Osteopathic Medicine
Type
Pulmonary Disease
Owner
Name: DR. ROD LEE ELLIOTT-MULLENS D.O.
Title: PRESIDENT
Phone: (830) 643-0319
Address
Address
2660 EAST Common St STE 201, New Braunfels, TX 78130
National Provider ID: 1780705236
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CENTRAL TEXAS PULMONARY, PA

Bend, OR  -  New Braunfels, TX

Status:
Inactive
Industry:
Medical Doctor's Office
Registration:
Jul 18, 2000
Phone:
(830) 643-0319 (Phone)
Addresses:
2474 NW Wyeth Pl, Bend, OR 97701 (Mailing)
2660 Cmn St, New Braunfels, TX 78130
State ID:
0082156403
Business type:
Professional Association
President , Treasurer , Director , Member, Secretary , Vice President:
Rod Elliott-Mullens President , Treasurer , Director , Member, Secretary , Vice President, inactive
Agent:
Rod Elliott-Mullens,2660 E Cmn St STE 201, New Braunfels, TX 78130 (Physical)
TIN:
32035991671

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