Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | F1824 | TX |
NPI | 1194762567 |
---|---|
Provider Name | Dr. John Charles Milani |
First Address | Irving, TX 75061-2221 |
Second Address | Irving, TX 75061-2221 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2006 |
Last Update Date | 01/07/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
157141601 | (05) | TX |
C19373 | (02) | TX |