Provider Demographics
NPI:1093856726
Name:MCGINTY AND MULDROW CORP
Entity type:Organization
Organization Name:MCGINTY AND MULDROW CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:MULDROW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-674-6122
Mailing Address - Street 1:918 MERCURY DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77029-2041
Mailing Address - Country:US
Mailing Address - Phone:713-674-6122
Mailing Address - Fax:713-674-1293
Practice Address - Street 1:918 MERCURY DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77029-2041
Practice Address - Country:US
Practice Address - Phone:713-674-6122
Practice Address - Fax:713-674-1293
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-08
Last Update Date:2017-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
TX46583336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX149300Medicaid
2101696OtherPK