Herndon, Milton Boyd
Herndon, Milton Boyd is an sole proprietor health care provider with primary practice located at 886 Sierra Dr , Port Neches TX 77651-5607. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Facial Plastic Surgery, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Facial Plastic Surgery is his primary health care specialty. Herndon, Milton Boyd can be contacted via phone (406) 729-6401.Contact Information
Primary practice address
886 Sierra Dr
Port Neches TX 77651-5607
Phone: (406) 729-6401
Fax: (409) 729-6015
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Facial Plastic Surgery | 207YS0123X | G9118 | Texas |
Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | G9118 | Texas |
Profile Details
NPI number | 1235154758 |
---|---|
LBN Legal business name | Herndon, Milton Boyd |
Credentials | DO PA |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 13th, 2006 |
Last updated | Jun 9th, 2014 - 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 | 1235154758 | NPPES |
Texas | MEDICAID | 168285801 | |
Texas | MEDICAID | 120264005 |
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