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NPI Code Detail

MEDICARE: CHRISTINA MILLIKEN

MEDICARE: CHRISTINA MILLIKEN
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
1247200000XOther TechnicianTX

General Provider Information

NPI Number : 1457826349
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA MILLIKEN
Provider Business Mailing Address
First Line : 5837 COPPERWOOD LN APT 2133
Second Line :
City : DALLAS
State : TX
Zip : 75248-3513
Country : US
Telephone Number : 970-846-4462
Fax Number :
Provider Business Practice Location Address
First Line : 5837 COPPERWOOD LN APT 2133
Second Line :
City : DALLAS
State : TX
Zip : 75248-3513
Country : US
Telephone Number : 970-846-4462
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/08/2018
Last Update Date : 10/08/2018

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Directions to “ CHRISTINA MILLIKEN ” Practice Location

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