Mills, Shane Bradley
Mills, Shane Bradley is an individual health care provider with primary practice located at 10526 W Parmer Ln Bldg 4 , Austin TX 78717-5056. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mills, Shane Bradley can be contacted via phone (512) 310-4700.Contact Information
Primary practice address
10526 W Parmer Ln Bldg 4
Austin TX 78717-5056
Phone: (512) 310-4700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | H8260 | Texas |
Profile Details
| NPI number | 1730176231 |
|---|---|
| LBN Legal business name | Mills, Shane Bradley |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 30th, 2005 |
| Last updated | Nov 13th, 2024 - about 2 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 | 1730176231 | NPPES |
| Texas | Other | H8260 | STATE MEDICAL LICENSE |
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