Individual
DR. CHRISTOPHER MCMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5508 SUMMERHILL RD, TEXARKANA, TX 75503-1822
(903) 792-1292
(903) 792-2051
Mailing address
816 W CANNON ST, FORT WORTH, TX 76104-3194
(817) 321-0404
(903) 792-2051
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
L4056
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148160001
—
AR
05
—
152365601
—
TX
01
—
300133926
RAILROAD MEDICARE
TX
Enumeration date
08/04/2005
Last updated
07/11/2022
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