Milam, Mary

Milam, Mary is an sole proprietor health care provider with primary practice located at 1307 8Th Ave Suite 205, Fort Worth TX 76104-4137. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Milam, Mary can be contacted via phone (817) 924-4300.

Contact Information

Primary practice address
1307 8Th Ave Suite 205 Fort Worth TX 76104-4137
Fax: (817) 924-1493
Website:

Health care specialties

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

Profile Details

NPI number 1063415735
LBN Legal business name Milam, Mary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2005
Last updated Jul 15th, 2008 - about 16 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 1063415735 NPPES
Texas MEDICAID 1356156-04

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