Provider Demographics
NPI:1043252281
Name:MILAM, ANAMARI CAMIS (MD)
Entity Type:Individual
Prefix:DR
First Name:ANAMARI
Middle Name:CAMIS
Last Name:MILAM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:158 DAVIS CT
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-6343
Mailing Address - Country:US
Mailing Address - Phone:210-275-4648
Mailing Address - Fax:
Practice Address - Street 1:1 HAVEN FOR HOPE WAY
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78207-1266
Practice Address - Country:US
Practice Address - Phone:210-261-1423
Practice Address - Fax:210-261-3743
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA608135042084P0800X
TXH06362084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX122892605Medicaid
TX122892605Medicaid
TX8A3617Medicare ID - Type UnspecifiedMEDICARE NO