MEDICARE: NEONATOLOGY CONSULTNANTS OF SOUTH TEXAS PLLC

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	2080N0001X	Neonatal-Perinatal Medicine Physician

Other Identifiers

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

General Provider Information

NPI Number	:	1700072964
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEONATOLOGY CONSULTNANTS OF SOUTH TEXAS PLLC

Provider Business Mailing Address
First Line	:	PO BOX 6160
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78466-6160
Country	:	US
Telephone Number	:	361-653-6361
Fax Number	:	361-653-6371

Provider Business Practice Location Address
First Line	:	3111 CENTER POINT DR
Second Line	:	#A
City	:	EDINBURG
State	:	TX
Zip	:	78539-8545
Country	:	US
Telephone Number	:	956-631-1039
Fax Number	:	956-631-1094

Authorized Official
Title or Position	:	ADMINISTRATOR MANAGER
Name	:	DR. EMIL L. MILANO
Credential	:	M.D.
Telephone Number	:	361-653-6361

Provider Enumeration Date	:	09/21/2007
Last Update Date	:	02/18/2014

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