Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | N9268 | TX |
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | N9268 | TX |
NPI | 1891906483 |
---|---|
Provider Name | Dr. Simon Milov |
First Address | Pharr, TX 78577-1614 |
Second Address | Mcallen, TX 78504-4684 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2007 |
Last Update Date | 22/01/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
286044705 | (05) | TX |