Provider Demographics
NPI:1073519427
Name:MCMILLION, JANIE (MD)
Entity Type:Individual
Prefix:DR
First Name:JANIE
Middle Name:
Last Name:MCMILLION
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 1:150 RIVER NORTH BLVD
Mailing Address - Street 2:
Mailing Address - City:STEPHENVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76401-1803
Mailing Address - Country:US
Mailing Address - Phone:254-968-6051
Mailing Address - Fax:254-968-4204
Practice Address - Street 1:150 RIVER NORTH BLVD
Practice Address - Street 2:
Practice Address - City:STEPHENVILLE
Practice Address - State:TX
Practice Address - Zip Code:76401-1803
Practice Address - Country:US
Practice Address - Phone:254-968-6051
Practice Address - Fax:254-968-4204
Is Sole Proprietor?:No
Enumeration Date:2005-06-21
Last Update Date:2012-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE50541207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX119174100OtherFIRST CARE PROVIDER NUMBE
TX1629140002OtherCIGNA PROVIDER NUMBER
TX160023077OtherRAILROAD MEDICARE
TN83J053OtherBCBS PROVIDER NUMBER
TX136072904Medicaid
TX4458949OtherAETNA PROVIDER NUMBER
TX90489901OtherUNITED HEALTHCARE PROV NO
TX4458949OtherAETNA PROVIDER NUMBER
TX1629140002OtherCIGNA PROVIDER NUMBER