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
Phone: (817) 375-9790
Fax: (817) 375-9791
Website:
Health care specialties
| Specialty | Code | License # | 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 3 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 | 1811964216 | NPPES |
| Texas | MEDICAID | 139964401 | |
| Texas | Other | 2319377 | |
| Texas | Other | 5700162 | |
| Texas | Other | 161676686 |
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