DANETTE R. ELLIOTT-MULLENS, DO, PA
Osteopathic Medicine in New Braunfels, TX

License number
Texas K9775
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: DR. DANETTE RAI ELLIOTT-MULLENS DO
Title: OWNER/PRESIDENT
Phone: (830) 627-3385
Address
Address
2660 E. Common St. Ste #201, New Braunfels, TX 78130
National Provider ID: 1275742173
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DANETTE R. ELLIOTT-MULLENS, D.O., PA

Bend, OR  -  New Braunfels, TX

Status:
Inactive
Registration:
May 21, 2002
Addresses:
2474 NW Wyeth Pl, Bend, OR 97701 (Mailing)
2660 Cmn St, New Braunfels, TX 78130
State ID:
0800086448
Business type:
Professional Association
President, Director, Member, Secretary:
Danette R. Elliott-Mullens President, Director, Member, Secretary, inactive
Agent:
Danette R Elliott-Mullens,2660 E Cmn SUITE 201, New Braunfels, TX 78132 (Physical)
TIN:
32035896201

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