Mauldin, James E

Mauldin, James E is an sole proprietor health care provider with primary practice located at 2904 N 4Th St Suite 101, Longview TX 75605-5129. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Mauldin, James E can be contacted via phone (903) 753-4603.

Contact Information

Primary practice address
2904 N 4Th St Suite 101 Longview TX 75605-5129
Phone: (903) 753-4603
Fax: (903) 757-5045
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X F9792 Texas
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X F9792 Texas

Profile Details

NPI number 1306813662
LBN Legal business name Mauldin, James E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 7th, 2006
Last updated Jul 19th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306813662 NPPES
Texas MEDICAID 128284007

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