Individual
DR. MENA MILAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1216 CHURCH ST, SULPHUR SPRINGS, TX 75482-2108
(903) 558-2222
(903) 558-2225
Mailing address
1216 CHURCH ST, SULPHUR SPRINGS, TX 75482-2108
(903) 558-2222
(903) 558-2225
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
Q3053
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
389678901
—
TX
01
—
705000
MEDICARE
TX
01
—
8JX850
BCBS
TX
01
—
P02098053
MEDICARE RAIL ROAD
TX
Enumeration date
04/27/2012
Last updated
02/12/2024
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