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NPI Code Detail

MEDICARE: DR. REAGAN B MCMILLIN MD

MEDICARE: DR. REAGAN B MCMILLIN 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
1207WX0009XGlaucoma Specialist (Ophthalmology) PhysicianH8753TX
2207W00000XOphthalmology PhysicianH8753TX

Other Identifiers

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

General Provider Information

NPI Number : 1487650578
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. REAGAN B MCMILLIN MD
Provider Business Mailing Address
First Line : 3105 LEON CIR
Second Line :
City : HARLINGEN
State : TX
Zip : 78550-8640
Country : US
Telephone Number : 956-425-8815
Fax Number :
Provider Business Practice Location Address
First Line : 2601 VETERANS DR
Second Line :
City : HARLINGEN
State : TX
Zip : 78550-8942
Country : US
Telephone Number : 956-291-9233
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2005
Last Update Date : 03/13/2023

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