Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | M0827 | TX |
N | 207PE0004X | Emergency Medical Services | M0827 | TX |
NPI | 1134187172 |
---|---|
Provider Name | Truman John Milling JR. |
First Address | Austin, TX 78731-3548 |
Second Address | Austin, TX 78701-1930 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2006 |
Last Update Date | 07/04/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
173315606 | (05) | TX |
I30676 | (02) | TX |