Mary Milam, M.D., P.A.

LBN: Mary Milam, M.D., P.A.
Mary Milam, M.D., P.A. is an health care organization with primary practice located at 1307 8Th Ave Suite 205, Fort Worth TX 76104-4137. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as the primary health care specialty. Mary Milam, M.D., P.A. can be contacted via phone (817) 924-4300, or through Milam, Mary via phone (817) 924-4300.

Contact Information

Primary practice address
1307 8Th Ave Suite 205 Fort Worth TX 76104-4137
Phone: (817) 924-4300
Fax: (817) 924-1493
Website:
Map and Directions
Authorized official contact:
Name: Milam, Mary M.D., P.A
Phone: (817) 924-4300

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X E4529 Texas

Profile Details

NPI number 1174786933
LBN Legal business name Mary Milam, M.D., P.A.
DBA Doing business as
Authorized official Milam, Mary M.D., P.A
Entity Organization
Organization subpart 1 No
Enumeration date Jul 2nd, 2008
Last updated Jul 14th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174786933 NPPES
Texas MEDICAID 135615604

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