Shane Bradley Mills in Round Rock - Family Medicine
Shane Bradley Mills - NPI 1730176231
Shane Bradley Mills is a Family Medicine in Round Rock, Texas. Shane Bradley Mills practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Shane Bradley Mills is 1730176231. The last update date is 2022-01-25.
Shane Bradley Mills's current location address is 16420 Rr 620 Ste 104, Round Rock, Texas. You can contact this provider via phone number 5122507000 and fax number 5122507004. The mailing address for Shane Bradley Mills is 16420 Rr 620 Ste 104, Round Rock, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Shane Bradley Mills |
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Address | 16420 Rr 620 Ste 104, Round Rock, Texas |
Phone Number | 5122507000 |
Fax Number | 5122507004 |
Sole Proprietor | N |
Credentials | D.O. |
NPI Number Detail
NPI Number | 1730176231 |
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Provider Enumeration Date | 2005-09-30 |
Last Updated Date | 2022-01-25 |
Provider Mailing Address Detail
Address | 16420 Rr 620 Ste 104 |
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City | Round Rock |
State | Texas (TX) |
Post Code | 786815794 |
Phone Number | 5122507000 |
Fax Number | 5122507004 |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
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Taxonomy | 207Q00000X |
Licence No | H8260 |
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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H8260 | TX | STATE MEDICAL LICENSE |
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What is the unique 10-digit identifier code issued to Shane Bradley Mills by the Centers for Medicare & Medicaid Services?
The Shane Bradley Mills has been assigned the NPI (National Provider Identifier) 1730176231 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Shane Bradley Mills is physically located?
The Shane Bradley Mills is physically situated at the following address: 16420 Rr 620 Ste 104, Round Rock, TX, 786815794.
What is Shane Bradley Mills's specialized field of practice, and what is the corresponding taxonomy classification code?
The Shane Bradley Mills's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1730176231 to Shane Bradley Mills?
The Centers for Medicare & Medicaid Services originally issued the 1730176231 to Shane Bradley Mills on 2005-09-30.
As of what date were the Shane Bradley Mills's details last updated?
The information pertaining to the Shane Bradley Mills, including its address, specialty, and other details, was most recently updated on 2022-01-25.
NPI Number: 1699778829
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