Individual
DAVID MILLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2555 JIMMY JOHNSON BLVD, EMERGENCY PHYSICIANS, PORT ARTHUR, TX 77640-2007
(409) 853-5400
(409) 853-5399
Mailing address
861 SW 78TH AVE, SUITE 100-B, PLANTATION, FL 33324-3273
(954) 693-0000
(954) 625-6034
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
545218
TX
Other
Enumeration date
01/29/2008
Last updated
12/09/2008
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