MARY MILAM, M.D., P.A. (NPI# 1174786933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174786933 |
| Entity Type | Organization |
| Organization Name | MARY MILAM, M.D., P.A. |
| Practice Address |
1307 8th Ave Suite 205 Fort Worth TX 76104-4137 |
| Practice Telephone | 8179244300 |
| Practice Fax Number | 8179241493 |
| Mailing Telephone | 8179244300 |
| Mailing Fax Number | 8179241493 |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2008-07-14 |
| Authorized Official Name | MARY MILAM (OWNER) |
| Authorized Official Telephone | 8179244300 |
| Authorized Official Credential | M.D., P.A |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
E4529 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 135615604 | 05 |
| Street Address |
1307 8TH AVE SUITE 205 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-4137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063415735 | Mary Milam | Internal Medicine | 1307 8th Ave, Suite 205, Fort Worth, TX 76104-4137 | 2005-05-24 |
| 1275062572 | Vma Partners LLC | Clinic/Center | 1307 8th Ave, Fort Worth, TX 76104-4137 | 2017-06-08 |
| 1780121871 | Analgesic Solutions | Pharmacy | 1307 8th Ave, Fort Worth, TX 76104-4137 | 2017-01-26 |
| 1265975056 | Metroplex Integrative Rehabilitation Services | Contractor | 1307 8th Ave, Ste 201, Fort Worth, TX 76104-4137 | 2016-11-28 |
| 1689024002 | Sherryl Cummings | Counselor | 1307 8th Ave, Suite 310, Fort Worth, TX 76104-4137 | 2016-06-16 |
| 1487008884 | Office of Sherry Kondziela, Md Pllc | Physical Medicine & Rehabilitation | 1307 8th Ave, Suite 100, Fort Worth, TX 76104-4137 | 2016-04-21 |
| 1922481357 | Nathaniel Byford | Physical Therapist | 1307 8th Ave, Fort Worth, TX 76104-4137 | 2015-07-02 |
| 1356720718 | Texas Health Care Pain Management | Clinic/Center | 1307 8th Ave, Suite 506, Fort Worth, TX 76104-4137 | 2015-05-19 |
| 1255718979 | Simple Sleep Services | Sleep Specialist, PhD | 1307 8th Ave, Suite 404, Fort Worth, TX 76104-4137 | 2015-05-01 |
| 1174925192 | Nicole Liudahl | Counselor | 1307 8th Ave, Suite 310, Fort Worth, TX 76104-4137 | 2014-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
| 1992343693 | Iris Giove | Psychologist | John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 | 2019-12-13 |
| 1104480656 | Swarnalaxmi Umapathy | Student in an Organized Health Care Education/Training Program | 900 8th Avenue, Fort Worth, TX 76104 | 2019-04-30 |
| 1881189132 | Mega Surgical Assistants LLC | Specialist/Technologist, Other | 1301pennsylvania, Fort Worth, TX 76104 | 2018-06-28 |
| 1356848899 | Tricia Kelly | Nurse Practitioner | 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 | 2018-04-11 |
| 1952820979 | Modern Vein Clinic | Internal Medicine | 757 8th Avenue, Suite A, Forth Worth, TX 76104 | 2017-09-11 |
| 1790207165 | Vanessa Abbood | Dietitian, Registered | 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 | 2017-07-07 |
| 1922537562 | Nicole Marie Tod | Student in an Organized Health Care Education/Training Program | 1500 S Main Street, Fort Worth, TX 76104 | 2017-06-07 |
| 1770025934 | Micah Bonola | Chiropractor | 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 | 2016-11-04 |
| 1518315894 | United Bioscience, LLC. | Clinical Medical Laboratory | 901 W. Leuda St., B, Fort Worth, TX 76104 | 2016-05-27 |
| Find all providers in zip 76104 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063444297 | David N Barrera | Internal Medicine | 6500 Harris Pkwy, Fort Worth, TX 76132-4136 | 2006-07-07 |
| 1760441885 | Asad Dean | Internal Medicine | 500 S Henderson St Ste 200, Fort Worth, TX 76104 | 2006-03-18 |
| 1205830619 | Richard Alleyne Artim | Internal Medicine | 710 W Leuda St, Fort Worth, TX 76104-3114 | 2005-06-13 |
| 1063415735 | Mary Milam | Internal Medicine | 1307 8th Ave, Suite 205, Fort Worth, TX 76104-4137 | 2005-05-24 |
| 1477810612 | Vinh Q Trang | Internal Medicine | 500 S Henderson St Ste 200, Fort Worth, TX 76104 | 2012-04-12 |
| 1447544838 | Asim Ahmad | Internal Medicine | 800 W Magnolia Ave, Fort Worth, TX 76104-4611 | 2011-06-03 |
| 1952539348 | Virginia Stark-vance, M.d., P.a. | Internal Medicine | 1325 Pennsylvania Ave, Suite 120, Fort Worth, TX 76104-2158 | 2009-06-24 |
| 1326207838 | Nicole Schrock Bartosh | Internal Medicine | 800 W Magnolia Ave, Fort Worth, TX 76104-4611 | 2008-06-09 |
| 1033386578 | Texas Oncology Pa | Internal Medicine | 6500 Harris Pkwy, Fort Worth, TX 76132-4136 | 2008-05-14 |
| 1457577017 | Bibas Reddy | Internal Medicine | 800 W Magnolia Ave, Fort Worth, TX 76104-4611 | 2007-04-18 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.