MARY MILAM


Address: 1307 8th Ave, Suite 205, Fort Worth, TX 76104-4137
Phone: 8179244300

MARY MILAM (NPI# 1063415735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063415735
Entity Type Individual
Full Name MARY MILAM
Credential MD
Practice Address 1307 8th Ave
Suite 205
Fort Worth
TX 76104-4137
Mailing Address 1307 8th Ave
Suite 308
Fort Worth
TX 76104-4140
Practice Telephone 8179244300
Practice Fax Number 8179241493
Mailing Telephone 8179200638
Mailing Fax Number 8179200690
Enumeration Date 2005-05-24
Last Update Date 2008-07-15
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
E4529 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX 1356156-04 05

Other Providers MARY MILAM

NPI Name Taxonomy Address Enumeration
1508466483 Mary Elizabeth Milam Technician 151 First St, Glen Daniel, WV 25844 2020-10-29
1013956341 Mary Lynn Milam Nurse Practitioner 301 40th St, Lubbock, TX 79404-2746 2006-06-05

Office Location

Street Address 1307 8TH AVE
SUITE 205
City FORT WORTH
State TX
Zip Code 76104-4137

Providers in the same location

NPI Name Taxonomy Address Enumeration
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
1720490758 Hollis Bartels Obstetrics & Gynecology 1307 8th Ave, Ste 403, Fort Worth, TX 76104 2014-05-26
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

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

Providers in the same taxonomy and city

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
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
1174786933 Mary Milam, M.d., P.a. Internal Medicine 1307 8th Ave, Suite 205, Fort Worth, TX 76104-4137 2008-07-02
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

Competitor

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City FORT WORTH
Zip Code 76104

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Dataset Information

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.

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