Individual
DR. MARK W MILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4004 WORTH ST, SUITE 300, DALLAS, TX 75246
(214) 820-3500
(214) 820-9799
Mailing address
3600 GASTON AVE, LB-143, DALLAS, TX 75246
(214) 827-0067
(214) 827-8840
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
G0775
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120516304
—
TX
Enumeration date
08/10/2005
Last updated
07/05/2023
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