Mills, John G

Mills, John G is an individual health care provider with primary practice located at 3500 Camp Bowie Boulevard , Fort Worth TX 76107-2644. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Aerospace Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine. Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine is his primary health care specialty. Mills, John G can be contacted via phone (817) 735-2000.

Contact Information

Primary practice address
3500 Camp Bowie Boulevard Fort Worth TX 76107-2644
Phone: (817) 735-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Aerospace Medicine 2083A0100X H5933 Texas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X H5933 Texas
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X H5933 Texas

Profile Details

NPI number 1720084775
LBN Legal business name Mills, John G
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Feb 19th, 2009 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720084775 NPPES
Texas Other 8F3682 BLUE CROSS BLUE SHIELD
Texas MEDICAID 132677904 BLUE CROSS BLUE SHIELD
Texas Other P00657642 BLUE CROSS BLUE SHIELD

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