Milhoan, Rusty Allen

Milhoan, Rusty Allen is an sole proprietor health care provider with primary practice located at 3150 Matlock Rd Suite 401, Arlington TX 76015-2992. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Other Service Providers / Specialist is his primary health care specialty. Milhoan, Rusty Allen can be contacted via phone (817) 375-9790.

Contact Information

Primary practice address
3150 Matlock Rd Suite 401 Arlington TX 76015-2992
Fax: (817) 375-9791
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X H1303 Texas
Allopathic & Osteopathic Physicians / Surgery 208600000X H1303 Texas

Profile Details

NPI number 1811964216
LBN Legal business name Milhoan, Rusty Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 3rd, 2006
Last updated Feb 2nd, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811964216 NPPES
Texas MEDICAID 139964401
Texas Other 2319377
Texas Other 5700162
Texas Other 161676686

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