MILTON GAYLE MULLANAX (NPI# 1700932076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700932076 |
| Entity Type | Individual |
| Full Name | MILTON GAYLE MULLANAX |
| Credential | M.D. |
| Practice Address |
715 N Fielder Rd Arlington TX 76012-4695 |
| Practice Telephone | 8172611626 |
| Mailing Telephone | 8172611626 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2008-08-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | D1750 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 86620X | 01 |
| TX | TEXAS RR MEDICARE | 072055635 | 01 |
| TX | AETNA PROVIDER NUMBER | 4325609 | 01 |
| Street Address |
715 N FIELDER RD |
| City | ARLINGTON |
| State | TX |
| Zip Code | 76012-4695 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780734582 | Edward Earl Rotan Jr. | Dermatology | 715 N Fielder Rd, Arlington, TX 76012-4695 | 2007-01-12 |
| 1447867106 | Eunice Kamanthe Makau | Nurse Practitioner | 715 N Fielder Rd, Arlington, TX 76012-4695 | 2020-09-28 |
| 1801435565 | Titilope Afusat Lawal-johnson | Psychiatry & Neurology | 715 N Fielder Rd, Arlington, TX 76012-4695 | 2019-12-29 |
| 1134762636 | Pristine Behavioral Therapy | Psychologist | 715 N Fielder Rd, Arlington, TX 76012-4695 | 2019-10-28 |
| 1295376945 | Amanda Kate Long | Nurse Practitioner | 715 N Fielder Rd, Arlington, TX 76012-4695 | 2019-10-03 |
| 1023676061 | Lillian Kenani King | Nurse Practitioner | 715 N Fielder Rd, Arlington, TX 76012-4695 | 2019-06-04 |
| 1528623469 | Shelley Durham Do Pa | Family Medicine | 715 N Fielder Rd, Arlington, TX 76012-4695 | 2019-05-06 |
| 1912560954 | Sussan Chinyere Nwogwugwu | Nurse Practitioner | 715 N Fielder Rd, Arlington, TX 76012-4695 | 2019-04-16 |
| 1013475979 | Primecare Family Practice | Nurse Practitioner | 715 N Fielder Rd, Arlington, TX 76012-4695 | 2019-03-08 |
| 1932440021 | Maria Mosomi | Nurse Practitioner | 715 N Fielder Rd, Arlington, TX 76012-4695 | 2013-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366073736 | Britney Beard | Counselor | 715 N Fielder Rd Ste A, Arlington, TX 76012 | 2020-02-04 |
| 1932762531 | Devin Austin Deloe | Speech-Language Pathologist | Arlington Villas, 2601 W Randol Mill Rd., Arlington, TX 76012 | 2019-04-18 |
| 1275000135 | Soh of Texas Samson Liu Pllc | Dentist | 1625 Pecan Dr, Arlington, TX 76012 | 2018-10-30 |
| 1295200749 | Eness, Inc. | In Home Supportive Care | 1321 West Randol Mill Road, #108, Arlington, TX 76012 | 2018-10-11 |
| 1073967626 | Maya Alex Kuriakose | Obstetrics & Gynecology | 1001 N. Waldrop, Suite 505, Arlington, TX 76012 | 2016-04-20 |
| 1710359971 | Amir Izaddoust | Dentist | 723 N. Fielder Rd, Suite E, Dallas, TX 76012 | 2015-10-28 |
| 1639553738 | Alicia Rider | Specialist/Technologist | 1507 Cherokee Szt, Arlington, TX 76012 | 2015-07-17 |
| 1508274614 | Neurodiagnostic Consultants, L.L.C. | Specialist | 1102 Orchard Drive, Arlington, TX 76012 | 2014-08-01 |
| 1578974663 | Lan Ngoc Nguyen, Pharm.d.,,llc | Pharmacy | 1102 Orchard Dr., Suite B, Arlington, TX 76012 | 2014-05-12 |
| 1871854471 | Takeisha Jones | Occupational Therapy Assistant | 532 Claire Ct, Arlington, TX 76012 | 2012-05-31 |
| Find all providers in zip 76012 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831521780 | Dermone Dermatology Associates of Texas Pa | Dermatology | 1100 Orchard Dr Ste B, Arlington, TX 76012-2519 | 2013-08-02 |
| 1699004598 | Barry S Paul, Md | Dermatology | 22 Mill St Ste 310, Arlington, MA 02476-4744 | 2009-12-24 |
| 1447432133 | Dermatology Place Pa | Dermatology | 1000 W Randol Mill Road, Arlington, TX 76012-2512 | 2007-12-04 |
| 1144376419 | David Randal Hensley | Dermatology | 300 W Arbrook Blvd, Suite D, Arlington, TX 76014-3105 | 2007-01-26 |
| 1780734582 | Edward Earl Rotan Jr. | Dermatology | 715 N Fielder Rd, Arlington, TX 76012-4695 | 2007-01-12 |
| 1740341486 | Courtney Regan Herbert | Dermatology | 1715 North George Mason Drive, Suite 406, Arlington, VA 22205 | 2006-12-13 |
| 1053499301 | Alexander L Berlin | Dermatology | 1115 W Randol Mill Rd, Suite 200, Arlington, TX 76012-2515 | 2006-11-02 |
| 1467560789 | Jeltje A Koumans | Dermatology | 33 Valley Rd, Arlington, MA 02476-7831 | 2006-08-27 |
| 1033124771 | Seema N Doshi | Dermatology | 1001 N Randolph St, Unit 717, Arlington, VA 22201-5602 | 2006-07-30 |
| 1154366870 | Victoria W Serralta | Dermatology | 8015 S Cooper St, Arlington, TX 76001-7018 | 2006-06-17 |
| Find all providers in ARLINGTON | ||||
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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.