Provider Demographics
NPI:1710901483
Name:ROBERT HUGHES MILLWEE, IV, MD
Entity Type:Organization
Organization Name:ROBERT HUGHES MILLWEE, IV, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:HUGHES
Authorized Official - Last Name:MILLWEE
Authorized Official - Suffix:IV
Authorized Official - Credentials:MD
Authorized Official - Phone:214-236-9841
Mailing Address - Street 1:1105 CENTRAL EXPY N
Mailing Address - Street 2:SUITE 380
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-6103
Mailing Address - Country:US
Mailing Address - Phone:972-747-5840
Mailing Address - Fax:972-747-5841
Practice Address - Street 1:1105 CENTRAL EXPY N
Practice Address - Street 2:SUITE 380
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-6103
Practice Address - Country:US
Practice Address - Phone:972-747-5840
Practice Address - Fax:972-747-5841
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-27
Last Update Date:2013-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ5617207L00000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX89106KMedicare ID - Type Unspecified606K
00W876Medicare PIN