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NPI Code Detail

MEDICARE: MISS JUDY A MILTON RT T

MEDICARE: MISS JUDY A MILTON RT T
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
12471R0002XRadiation Therapy Radiologic TechnologistTX

General Provider Information

NPI Number : 1598873218
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS JUDY A MILTON RT T
Provider Business Mailing Address
First Line : 13131 ABALONE WAY
Second Line :
City : HOUSTON
State : TX
Zip : 77044
Country : US
Telephone Number : 281-459-3052
Fax Number :
Provider Business Practice Location Address
First Line : 2002 HOLCOMBE BLVD
Second Line : RADIATION THERAPY DEPT.
City : HOUSTON
State : TX
Zip : 77030-4211
Country : US
Telephone Number : 713-794-7190
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2006
Last Update Date : 07/08/2007

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