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Export Provider Record NPI 1063875490
Evan Anthony MulloyMD
Active
NPI Number1063875490
NPI TypeNPI-1 Individual
SpecialtyUrology
Provider Details
NPI1063875490
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2016-04-02
Last Updated2025-10-24
Mailing Address9110 E Nichols Ave Ste 150
Centennial, CO 80112-3450
United States
Phone: (720) 666-4739
📍 View Map
Primary Practice Address1400 N Coit Rd Ste 302
Mckinney, TX 75071-6656
United States
Phone: (469) 722-5700 | Fax: (833) 449-4351
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No208800000X – UrologyOK42945
No208800000X – UrologyGA92615
No208800000X – UrologyARE-17677
No208800000X – UrologyTN70636
No208800000X – UrologyFLME167214
No208800000X – UrologyLA340289
Yes208800000X – UrologyTXU8100
No208800000X – UrologyCA171780
No208800000X – UrologyMS34075
No208800000X – UrologyCODR.0072249
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About NPI 1063875490

Evan Anthony Mulloy MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1063875490. The primary specialty listed is Urology. The provider is located in Mckinney, TX. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2016-04-02. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1063875490?

NPI 1063875490 belongs to Evan Anthony Mulloy MD, a Urology in Mckinney, TX. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1063875490 active?

The current status of NPI 1063875490 in the NPPES registry is Active. The record was last updated on 2025-10-24.

What specialty is NPI 1063875490?

NPI 1063875490 is classified under the taxonomy Urology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1063875490?

You can verify NPI 1063875490 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1063875490?

The primary practice address on file for NPI 1063875490 is 1400 N Coit Rd Ste 302, Mckinney, TX 75071-6656. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1063875490 issued?

NPI 1063875490 was first issued (enumerated) on 2016-04-02. The NPPES record was last updated on 2025-10-24.

Practice Location Map

Evan Anthony Mulloy is located at 1400 N Coit Rd Ste 302, Mckinney, TX. Use the map below to find directions or verify the practice location.

📍 1400 N Coit Rd Ste 302, Mckinney, TX 75071-6656  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Evan Anthony Mulloy. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1063875490. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Urology42945OK
Urology92615GA
UrologyE-17677AR
Urology70636TN
UrologyME167214FL
Urology340289LA
UrologyU8100TX
Urology171780CA
Urology34075MS
UrologyDR.0072249CO
Data Verified from CMS NPPES Last synced: 2026-06-18 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162