Individual
LISA HOPE MILHOAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6606 LBJ FWY STE 200, DALLAS, TX 75240-6524
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 650865, DALLAS, TX 75265-0865
(972) 715-5000
(972) 715-9976
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
527142
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
088698808
—
TX
05
—
088698810
—
TX
01
—
8338UH
BCBS TX
TX
Enumeration date
08/31/2006
Last updated
11/02/2015
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