Healthcare Provider Details

I. General information

NPI: 1831399963
Provider Name (Legal Business Name): WILLIAM J MILESKI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2007
Last Update Date: 03/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 UNIVERSITY BLVD
GALVESTON TX
77555-1022
US

IV. Provider business mailing address

301 UNIVERSITY BLVD
GALVESTON TX
77555-1022
US

V. Phone/Fax

Practice location:
  • Phone: 409-772-2222
  • Fax:
Mailing address:
  • Phone: 409-747-0890
  • Fax: 409-772-0885

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberH8759
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code2086S0127X
TaxonomyTrauma Surgery Physician
License NumberH8759
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: