MEDICARE: JOHN C. MILANI, M.D. P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician	H6199	TX
2	363AS0400X	Surgical Physician Assistant	PA00289	TX
3	207XS0117X	Orthopaedic Surgery of the Spine Physician	F1824	TX

General Provider Information

NPI Number	:	1881631315
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOHN C. MILANI, M.D. P.A.

Provider Business Mailing Address
First Line	:	1341 W MOCKINGBIRD LN
Second Line	:	SUITE 710-E
City	:	DALLAS
State	:	TX
Zip	:	75247-6913
Country	:	US
Telephone Number	:	214-630-7494
Fax Number	:	214-630-2228

Provider Business Practice Location Address
First Line	:	1341 W MOCKINGBIRD LN
Second Line	:	SUITE 710-E
City	:	DALLAS
State	:	TX
Zip	:	75247-6913
Country	:	US
Telephone Number	:	214-630-7494
Fax Number	:	214-630-2228

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JOHN C MILANI
Credential	:	M.D.
Telephone Number	:	214-630-7494

Provider Enumeration Date	:	06/01/2006
Last Update Date	:	12/13/2007

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Directions to “JOHN C. MILANI, M.D. P.A. ” Practice Location

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