Organization
GEOFFREY M MILLICAN MD PA
Active
Other names
GEOFFREY M MILLICAN MD PA
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY M MILLICAN M.D. (DOCTOR-OWNER)
(817) 616-0700
Entity
Organization
Contact information
Practice address
4375 BOOTH CALLOWAY RD, STE 400, NORTH RICHLAND HILLS, TX 76180-8359
(817) 616-0700
(817) 617-0709
Mailing address
4375 BOOTH CALLOWAY RD, STE 400, NORTH RICHLAND HILLS, TX 76180-8359
(817) 616-0700
(817) 616-0709
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
M3024
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M3024
LICENSE NUMBER
TX
Enumeration date
10/05/2006
Last updated
06/21/2018
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