Mills, Tara Ann

Mills, Tara Ann is an individual health care provider with primary practice located at 12201 Renfert Way Ste 225, Austin TX 78758-5369. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Mills, Tara Ann can be contacted via phone (512) 339-6626.

Contact Information

Primary practice address
12201 Renfert Way Ste 225 Austin TX 78758-5369
Fax: (512) 425-3809
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X L8437 Texas

Profile Details

NPI number 1891797197
LBN Legal business name Mills, Tara Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Feb 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891797197 NPPES
Texas MEDICAID 165194502

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