MEDICARE: DR. BRANDI NICOLE MILMO M.D.

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	2084P0800X	Psychiatry Physician	N8044	TX

General Provider Information

NPI Number	:	1558670166
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRANDI NICOLE MILMO M.D.

Provider Business Mailing Address
First Line	:	3510 N SAINT MARYS ST STE 210
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78212-3164
Country	:	US
Telephone Number	:	210-236-5108
Fax Number	:

Provider Business Practice Location Address
First Line	:	3510 N SAINT MARYS ST STE 210
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78212-3164
Country	:	US
Telephone Number	:	210-236-5108
Fax Number	:

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

Provider Enumeration Date	:	09/29/2010
Last Update Date	:	08/08/2023

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