Provider Demographics
NPI:1629451117
Name:MILON & ASSOCIATES LLC
Entity Type:Organization
Organization Name:MILON & ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GORDON
Authorized Official - Middle Name:M
Authorized Official - Last Name:BRYANT
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:214-662-0673
Mailing Address - Street 1:4951 AIRPORT PKWY
Mailing Address - Street 2:SUITE 800
Mailing Address - City:ADDISON
Mailing Address - State:TX
Mailing Address - Zip Code:75001-6614
Mailing Address - Country:US
Mailing Address - Phone:214-662-0673
Mailing Address - Fax:188-832-9396
Practice Address - Street 1:4951 AIRPORT PKWY
Practice Address - Street 2:SUITE 800
Practice Address - City:ADDISON
Practice Address - State:TX
Practice Address - Zip Code:75001-6614
Practice Address - Country:US
Practice Address - Phone:214-662-0673
Practice Address - Fax:188-832-9396
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-02
Last Update Date:2015-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX802187487302F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization