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NPI Code Detail

MEDICARE: MR. RICHARD BRYAN MILLSON C.R.N.A.

MEDICARE: MR. RICHARD BRYAN MILLSON C.R.N.A.
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
1367500000XCertified Registered Nurse Anesthetist050905TX

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 : 1730138462
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RICHARD BRYAN MILLSON C.R.N.A.
Provider Business Mailing Address
First Line : 1960 PEAVY RD
Second Line :
City : DALLAS
State : TX
Zip : 75228-3659
Country : US
Telephone Number : 214-236-5643
Fax Number : 214-321-9160
Provider Business Practice Location Address
First Line : 9440 POPPY DR
Second Line :
City : DALLAS
State : TX
Zip : 75218-3652
Country : US
Telephone Number : 214-324-6100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2006
Last Update Date : 05/18/2008

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