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NPI Code Detail

MEDICARE: ROBERT D. MILLS MD

MEDICARE: ROBERT D. MILLS MD
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
1207P00000XEmergency Medicine PhysicianG5385TX
2207PE0004XEmergency Medical Services (Emergency Medicine) PhysicianG5385TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255373320
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT D. MILLS MD
Provider Business Mailing Address
First Line : 1445 PATTERSON RD
Second Line :
City : AUSTIN
State : TX
Zip : 78733-6504
Country : US
Telephone Number : 512-263-1226
Fax Number :
Provider Business Practice Location Address
First Line : 12221 N MO PAC EXPY
Second Line :
City : AUSTIN
State : TX
Zip : 78758-2415
Country : US
Telephone Number : 512-901-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2006
Last Update Date : 05/14/2010

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