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Deactivated NPI 1235114919 Deactivated / Inactive NPI Male Practitioner

Dr. Lucas Mulder , MD

General Practice • Alice, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Lucas Mulder has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 14, 2005
NPI Deactivation Date December 15, 2017
Total Practice Duration ~12 Years of Practice (2005 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Lucas Mulder, MD was a registered General Practice practicing in Alice, TX. Throughout an active medical career spanning 12 years, Dr. Mulder provided care at the practice location at 700 FLOURNOY RD until profile deactivation on 2017-12-15.

Practice Location & Contact Primary Location

Practice Address

700 Flournoy Rd
Suite 2

Alice, TX 783324087

Telephone 3616680618
Fax 3616689677
Associated Practice Facility / Clinic
🏢 Donald L. Mulder, P.a. Facility NPI 1639347446

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Alice, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 27.9 Yrs
Regional Practice Density
2 Specialists

Practicing in Alice, TX (1183 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License TX J6182

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Kendell White , FNP-C

Nurse Practitioner - Family

NPI 1043711211

Family Nurse Practitioner (Certified)

Pamala Edwards , PA

Physician Assistant - Medical

NPI 1063590305

Physician Assistant

NPI 1073825832

Doctor of Dental Surgery

Hector Garza , LCDC

Counselor - Addiction (Substance Use Disorder)

NPI 1164623781

Licensed Chemical Dependency Counselor

Dr. Maximiliano Herrera , MD

Family Medicine - Adult Medicine

NPI 1285865238

Doctor of Medicine (M.D.)

Alda Montalvo , LCDC

Counselor - Addiction (Substance Use Disorder)

NPI 1306090790

Licensed Chemical Dependency Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 15, 2017

Record deactivated on December 15, 2017

NPI Profile Active April 23, 2008

NPI status registered as active in NPPES database

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Updated Practice Location April 23, 2008

Registered at 700 FLOURNOY RD, SUITE 2, ALICE, TX 783324087 (Tel: 3616680618)

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Updated Business Mailing Address April 23, 2008

Registered at 700 FLOURNOY RD, SUITE 2, ALICE, TX 783324087 (Tel: 3616680618)

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Provider Name / Credentials Updated April 23, 2008

Recorded as LUCAS MULDER, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 23, 2008

General Practice (License #J6182 in TX)

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Initial NPI Registration & Enumeration December 14, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1235114919
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 14, 2005
Last Update: April 23, 2008
Deactivation Date: December 15, 2017

Mailing Address

700 Flournoy Rd, Suite 2

Alice, TX 783324087

Phone: 3616680618

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.