Individual
DR. EIDI K MILLINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1405 W JEFFERSON ST, WAXAHACHIE, TX 75165
(972) 923-7144
(972) 923-7145
Mailing address
PO BOX 842001, DALLAS, TX 75284-2001
(972) 923-7144
(972) 923-7145
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP40022712
TX
207R00000X
Internal Medicine Physician
Primary
M9506
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
285842501
—
TX
Enumeration date
05/31/2007
Last updated
06/20/2012
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