Individual
MS. VIRGINIA L MILOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GNP
Contact information
Practice address
1301 W 7TH ST, SUITE 121, FORT WORTH, TX 76102-2651
(817) 348-0425
(817) 348-0455
Mailing address
6024 LAKEHURST, ARLINGTON, TX 76016
(817) 903-4545
(972) 206-0365
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
224173
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8Y0219
BCBS
TX
Enumeration date
06/21/2006
Last updated
09/14/2011
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