Individual
MRS. CHRISTINE MARIE MILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 8TH AVE STE 626, FORT WORTH, TX 76104-2605
(817) 243-7995
Mailing address
800 8TH AVE STE 626, FORT WORTH, TX 76104-2605
(817) 243-7995
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA12904
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA12904
TEXAS PHYSICIAN ASSISTANT BOARD
TX
Enumeration date
07/02/2019
Last updated
01/13/2021
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