Individual
ALLYN LAWRENCE MCMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
4412 KELL BLVD, WICHITA FALLS, TX 76309-4719
(940) 696-0011
(940) 696-2248
Mailing address
P.O. BOX 961205, FORT WORTH, TX 76161-1205
(817) 740-8450
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP139309
TX
Other
Enumeration date
09/27/2018
Last updated
11/08/2019
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