Individual
TRAVIS JUSTIN MILLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EMT-B
Contact information
Practice address
7710 W INTERSTATE 10, SAN ANTONIO, TX 78230-4711
(210) 377-3355
Mailing address
7710 W INTERSTATE 10, SAN ANTONIO, TX 78230-4711
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
60961888
WA
146N00000X
Basic Emergency Medical Technician
Primary
761891
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146N00000X
—
TX
Enumeration date
04/21/2020
Last updated
04/21/2020
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