Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | H8997 | TX |
NPI | 1033155312 |
---|---|
Provider Name | John Scott Milton |
First Address | Amarillo, TX 79106-1708 |
Second Address | Amarillo, TX 79106-1786 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2006 |
Last Update Date | 03/11/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000J6727 | (05) | NM |
042671001 | (05) | TX |
042671002 | (05) | TX |
100162610 A | (05) | OK |
F44279 | (02) | TX |