Milligan, Tara
Milligan, Tara is an sole proprietor health care provider with primary practice located at 908 W Terrell Ave N , Ft Worth TX 76104-3034. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Milligan, Tara can be contacted via phone (817) 820-0427.Contact Information
Primary practice address
908 W Terrell Ave N
Ft Worth TX 76104-3034
Phone: (817) 820-0427
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA08594 | Texas |
Profile Details
| NPI number | 1790109759 |
|---|---|
| LBN Legal business name | Milligan, Tara |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 11th, 2014 |
| Last updated | Feb 10th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790109759 | NPPES |
| Texas | Other | PA08594 | LICENSE |
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