Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | G8284 | TX |
N | 207Q00000X | Family Doctor | G8284 | TX |
NPI | 1003886243 |
---|---|
Provider Name | Alexander Milian |
First Address | Sweeny, TX 77480 |
Second Address | Rockport, TX 78382 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2006 |
Last Update Date | 12/03/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
135517413 | (05) | TX |
C19378 | (02) | TX |
P00421205 | RAILROAD MCR (01) |