# MILLENNIUM NEO TEXOMA PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902396070
- **Authorized official:** EMILY RATTRAY (OFFICE MANAGER)
- **Authorized official phone:** (314) 900-1933

## Contact information

- **Practice address:** 5016 S US HIGHWAY 75, DENISON, TX 75020-4584
- **Practice address phone:** (888) 258-3326
- **Practice address fax:** (409) 908-3115
- **Mailing address:** PO BOX 20236, BEAUMONT, TX 77720-0236
- **Mailing address phone:** (888) 258-3326
- **Mailing address fax:** (409) 908-3115

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | — | NULL | Yes |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/15/2018
- **Last updated:** 09/17/2024