Individual
BRANDON MILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1301 PENNSYLVANIA AVE, FORT WORTH, TX 76104-2122
(405) 512-7721
Mailing address
3201 SPRINGHILL DR STE 100, NORTH LITTLE ROCK, AR 72117-2905
(501) 955-4530
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
V2792
TX
390200000X
Student in an Organized Health Care Education/Training Program
Primary
V2792
TX
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/04/2023
Last updated
03/28/2025
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