Provider Demographics
NPI:1669692802
Name:MUELLER, STEPHEN EDWARD (MD)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:EDWARD
Last Name:MUELLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3450 W. WHETLAND RD
Mailing Address - Street 2:POB II SUITE 440
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75237-2045
Mailing Address - Country:US
Mailing Address - Phone:972-296-8888
Mailing Address - Fax:972-780-9550
Practice Address - Street 1:3450 W. WHEATLAND RD
Practice Address - Street 2:PAVILLION II SUITE 440
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75237
Practice Address - Country:US
Practice Address - Phone:972-296-8888
Practice Address - Fax:972-780-9550
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-30
Last Update Date:2019-12-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXH1159207RP1001X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX084184301Medicaid
TX83W230Medicare ID - Type Unspecified
TX084184301Medicaid