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
Phone: (817) 924-4300
Fax: (817) 924-1493
Website:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063415735 | NPPES |
| Texas | MEDICAID | 1356156-04 |
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