Individual
THOMAS MCMILLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3501 HUECO AVE, EL PASO, TX 79903-4312
(915) 594-7000
Mailing address
3501 HUECO AVE, EL PASO, TX 79903-4312
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
UNSPECIFIED
TX
Enumeration date
06/13/2017
Last updated
06/13/2017
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