Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 242130 | NY |
N | 111NI0900X | Internist | 242130 | NY |
Y | 207RI0200X | Infectious Disease | N3890 | TX |
NPI | 1063576015 |
---|---|
Provider Name | Dr. Ximena Millan |
First Address | Tomball, TX 77375-1484 |
Second Address | Houston, TX 77090-2900 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/12/2006 |
Last Update Date | 25/03/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02823325 | (05) | NY |