Mary Milam
Hematology & Oncology
1307 8th Ave Suite 205
Fort Worth
, Texas 76104-4137
Mary Milam
Hematology & Oncology
1307 8th Ave Suite 205
Fort Worth
, Texas 76104-4137
(817) 920-0690
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About
Features
Specialties
- Hematology & Oncology
Languages spoken
- English
Location
First Address
- Mary Milam
- 1307 8th Ave Suite 308
- Fort Worth, TX
- Zip : 76104-4140
- Fax : (817) 920-0690
- Phone : (817) 920-0638
Second Address
- Mary Milam
- 1307 8th Ave Suite 205
- Fort Worth, TX
- Zip : 76104-4137
- Fax : (817) 924-1493
- Phone : (817) 924-4300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RH0003X | Hematology & Oncology | E4529 | TX |
National Provider Identifier
| NPI | 1063415735 |
|---|---|
| Provider Name | Mary Milam |
| First Address | Fort Worth, TX 76104-4140 |
| Second Address | Fort Worth, TX 76104-4137 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/05/2005 |
| Last Update Date | 15/07/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1356156-04 | (05) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.