MARY MILAM M.D. P.A. NPI 1174786933

NPI Information

  • NPI: 1174786933
  • Provider Name: MARY MILAM, M.D., P.A.
  • Classification: Internal Medicine - 207RH0003X
  • Specialization: Hematology & Oncology
  • Entity Type: Organization
  • CLIA Number: 45D0895512
  • Address: 1307 8TH AVE
    SUITE 205
    FORT WORTH, TX
    ZIP 76104
  • Phone: (817) 924-4300

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NPI Details

MARY MILAM, M.D., P.A. is a hematology and oncology internal medicine in Fort Worth, TX. The provider is 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. MARY MILAM, M.D., P.A. NPI is 1174786933. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1307 8TH AVE
SUITE 205
FORT WORTH, TX
ZIP 76104-137
Phone: (817) 924-4300
Fax: (817) 924-1493

The provider's authorized official is Mary Milam .
The authorized official title is Owner and has the following contact phone number (817) 924-4300.

The CLIA number assigned to this NPI record is 45D0895512 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/2/2008 and was last updated on 7/14/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RH0003XInternal MedicineHematology & OncologyE4529TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100H48UMEDICARE PINTEXAS
2135615604MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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