Provider Demographics
NPI:1093268922
Name:MILLS, ANNA L
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:L
Last Name:MILLS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2208 NICOLE DR
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78574-9701
Mailing Address - Country:US
Mailing Address - Phone:956-458-0896
Mailing Address - Fax:
Practice Address - Street 1:921 E MAIN AVE STE 5
Practice Address - Street 2:
Practice Address - City:ALTON
Practice Address - State:TX
Practice Address - Zip Code:78573-1606
Practice Address - Country:US
Practice Address - Phone:956-519-2500
Practice Address - Fax:956-519-2520
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-27
Last Update Date:2016-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX352892355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2355S0801XOther2355S0801X