Shane B. Mills, D.o.

NPI 1104813567 - Family Medicine - 207Q00000X

NPI Details
NPI 1104813567
Enumeration Date 09/30/2005
Last Updated 10/17/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name SHANE B SHANE
Position PRESIDENT
Phone (512) 246-3338
Fax (512) 346-3368
Practice Location
15930 S GREAT OAKS DR
A-200
ROUND ROCK TX, 78681-5526, US
Phone (512) 246-3338
Fax (512) 346-3368
Business Location
15930 S GREAT OAKS DR
A-200
ROUND ROCK TX, 78681-5526, US
Phone (512) 246-3338
Fax (512) 346-3368
Toxanomy
Taxonomy Code 207Q00000X
License State Texas
License Number H8260
Remove 1104813567 NPI Number
 

According to our database, Shane B. Mills, D.o. NPI is 1104813567, taxonomy code is 207Q00000X and license number is H8260, license state is located at Texas. Shane B. Mills, D.o. physically located at 15930 S Great Oaks Dr, Round Rock TX, 78681-5526. NPI Number 1033115704 has the healthcare provider type.

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1104813567 NPI number is provided on an as is basis without warranty of any kind. 1104813567 is maintained by the National Plan & Provider Enumeration System. The contents of Shane B. Mills, D.o. are for informational purposes only.