Organization
MILAGRO MIO, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK L URISH (MANAGING MEMBER)
(214) 422-1047
Entity
Organization
Contact information
Practice address
801 S HIGHWAY 78 STE 207, WYLIE, TX 75098-4000
(214) 422-1047
Mailing address
801 S HIGHWAY 78 STE 207, WYLIE, TX 75098-4000
(214) 422-1047
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
02/04/2021
Last updated
04/07/2022
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