Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | 12507 | TX |
NPI | 1013332436 |
---|---|
Provider Name | Dr. Adam Milroy |
First Address | Lewisville, TX 75056-6390 |
Second Address | Lewisville, TX 75056-6390 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2014 |
Last Update Date | 22/06/2021 |