Millard, Mark W
Millard, Mark W is an individual health care provider with primary practice located at 4004 Worth St Suite 300, Dallas TX 75246. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Millard, Mark W can be contacted via phone (214) 820-3500.Contact Information
Primary practice address
4004 Worth St Suite 300
Dallas TX 75246
Phone: (214) 820-3500
Fax: (214) 820-9799
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | G0775 | Texas |
Profile Details
| NPI number | 1609877737 |
|---|---|
| LBN Legal business name | Millard, Mark W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2005 |
| Last updated | Jul 5th, 2023 - about last year |
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 | 1609877737 | NPPES |
| Texas | MEDICAID | 120516304 |
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