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Individual

JOHN G MILLS

Active
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Individual

JOHN G MILLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D O

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
H5933
TX
2083A0100X
Aerospace Medicine Physician
H5933
TX
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
H5933
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
132677904
TX
01
8F3682
BLUE CROSS BLUE SHIELD
TX
01
P00657642
RAILROAD MEDICARE
TX
Enumeration date
06/23/2005
Last updated
02/19/2009
Update your record

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