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Carol Milam

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NPI Number Detailed Information

Provider Information:

Name: Carol Milam
Gender: F
Provider License Number If Given: 17429

NPI Information:

NPI: 1336148915
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 7/18/2005

Last Update Date: 11/5/2012

Provider Business Mailing Address:

Address: 18333 EGRET BAY BLVD STE 305
Houston, TX 77058
Phone Number: 2813335740
Fax Number: 2813334013

Provider Business Practice Location Address:

Address: 18333 EGRET BAY BLVD STE 305
Houston, TX 77058
Phone Number: 2813335740
Fax Number: 2813334013

Provider Taxonomy:

Primary: 101YP2500X
Secondary (if any):
State: TX

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