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NPI Code Detail

MEDICARE: DR. ANDREA MILNE

MEDICARE: DR. ANDREA MILNE
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
1111NS0005XSports Physician Chiropractor5279TX

General Provider Information

NPI Number : 1538240338
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDREA MILNE
Provider Business Mailing Address
First Line : PO BOX 170156
Second Line :
City : ARLINGTON
State : TX
Zip : 76003-0156
Country : US
Telephone Number : 817-572-0072
Fax Number :
Provider Business Practice Location Address
First Line : 4012 SW GREEN OAKS BLVD
Second Line :
City : ARLINGTON
State : TX
Zip : 76017-4113
Country : US
Telephone Number : 817-572-0072
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2006
Last Update Date : 07/08/2007

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Directions to “ DR. ANDREA MILNE ” Practice Location

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