| John Everett Mullins, DO | |
|
21110 Market Rdg, San Antonio, TX 78258-4984 | |
| (210) 490-7334 | |
| (210) 490-7335 |
| Full Name | John Everett Mullins |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 21110 Market Rdg, San Antonio, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417248923 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080S0010X | Pediatrics - Sports Medicine | P8953 (Texas) | Secondary |
| 208000000X | Pediatrics | P8953 (Texas) | Primary |
| Entity Name | Ut Lebonheur Pediatric Specialists, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093024101 PECOS PAC ID: 7719173939 Enrollment ID: O20101130000117 |
| Mailing Address | Practice Location Address |
|---|---|
| John Everett Mullins, DO 21110 Market Rdg, San Antonio, TX 78258-4984 Ph: (210) 490-7334 | John Everett Mullins, DO 21110 Market Rdg, San Antonio, TX 78258-4984 Ph: (210) 490-7334 |
Erica Hughley, Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 19016 Stone Oak Pkwy, San Antonio, TX 78258 Phone: 210-490-0353 Fax: 210-490-0716 | |
Sarah Haley Gross, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 14615 San Pedro Ave Ste 218-220, San Antonio, TX 78232 Phone: 210-644-3650 Fax: 210-702-6979 | |
Jose Antonio Palomares Jr., MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4114 Pond Hill Rd Ste 102, San Antonio, TX 78231 Phone: 210-249-5020 | |
Dr. Wilson Wayne Grant, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5282 Medical Dr, Ste 310, San Antonio, TX 78229 Phone: 210-614-8687 Fax: 210-614-7529 | |
Dr. Jane T Atkins, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7922 Ewing Halsell Dr, Suite 270, San Antonio, TX 78229 Phone: 210-614-2828 Fax: 210-614-2558 | |
Pedro Nelson Chavez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 520 Madison Oak Dr, Suite 103, San Antonio, TX 78258 Phone: 210-297-8640 Fax: 210-297-8640 | |
Dr. Jose F Pascual-baralt, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7419 Round Mtn, San Antonio, TX 78255 Phone: 210-695-2906 |