Individual
STACEY MILAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-5563
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(800) 994-0371
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
57008465
OH
208600000X
Surgery Physician
MD440174
PA
2086X0206X
Surgical Oncology Physician
Primary
P7312
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0234702
—
NJ
05
—
102482897
—
PA
Enumeration date
05/25/2007
Last updated
07/21/2022
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