Individual
JOSEPH C MILNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1651 W ROSEDALE, SUITE 200, FORT WORTH, TX 76104-7437
(817) 335-4316
(817) 332-4465
Mailing address
PO BOX 961205, FORT WORTH, TX 76161-1205
(817) 740-8400
(817) 332-4465
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
J1734
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115124304
—
TX
01
—
200046253
RAILROAD MEDICARE
—
Enumeration date
08/04/2006
Last updated
10/07/2011
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