Provider Demographics
NPI:1164150264
Name:MONO, MILTON (RN)
Entity Type:Individual
Prefix:MR
First Name:MILTON
Middle Name:
Last Name:MONO
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:752 N MAIN ST UNIT 1497
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-3298
Mailing Address - Country:US
Mailing Address - Phone:844-533-6699
Mailing Address - Fax:
Practice Address - Street 1:702 CROSS MEADOW BLVD
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-8697
Practice Address - Country:US
Practice Address - Phone:337-263-2126
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-08
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant