Mullanax, Milton Gayle
Mullanax, Milton Gayle is an sole proprietor health care provider with primary practice located at 715 N Fielder Rd , Arlington TX 76012-4695. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Mullanax, Milton Gayle can be contacted via phone (817) 261-1626.Contact Information
Primary practice address
715 N Fielder Rd
Arlington TX 76012-4695
Phone: (817) 261-1626
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | D1750 | Texas |
Profile Details
| NPI number | 1700932076 |
|---|---|
| LBN Legal business name | Mullanax, Milton Gayle |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 26th, 2007 |
| Last updated | Aug 7th, 2008 - about 16 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 | 1700932076 | NPPES |
| Texas | Other | 86620X | BCBS |
| Texas | Other | 072055635 | BCBS |
| Texas | Other | 4325609 | BCBS |
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