MEDICARE: VIRGINIA C MILLIGAN FNP

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	208000000X	Pediatrics Physician	AP142935	TX

General Provider Information

NPI Number	:	1154963890
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VIRGINIA C MILLIGAN FNP

Provider Business Mailing Address
First Line	:	2823 GREEN FIELDS DR
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-1804
Country	:	US
Telephone Number	:	281-639-0234
Fax Number	:

Provider Business Practice Location Address
First Line	:	9721 BROADWAY ST STE 111
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-8170
Country	:	US
Telephone Number	:	713-436-3637
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/15/2019
Last Update Date	:	10/15/2019

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Directions to “ VIRGINIA C MILLIGAN FNP” Practice Location

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