Healthcare Provider Details

I. General information

NPI: 1316032279
Provider Name (Legal Business Name): ROBERT NEAL MILLS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 07/21/2025
Certification Date: 06/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29 MONTELAGO BLVD UNIT 136
HENDERSON NV
89011-3235
US

IV. Provider business mailing address

29 MONTELAGO BLVD UNIT 136
HENDERSON NV
89011-3235
US

V. Phone/Fax

Practice location:
  • Phone: 972-540-7655
  • Fax:
Mailing address:
  • Phone: 972-540-7655
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number27330
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number27330
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: