Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | K8343 | TX |
Y | 207Q00000X | Family Doctor | K8343 | TX |
N | 207QG0300X | Family Doctor - Geriatric Medicine | K8343 | TX |
N | 207V00000X | Obstetrician & Gynecologist | K8343 | TX |
NPI | 1205846573 |
---|---|
Provider Name | Troy A Millican |
First Address | Columbus, TX 78934-3011 |
Second Address | Columbus, TX 78934-3011 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2006 |
Last Update Date | 08/01/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G96367 | (02) | TX |