Provider Demographics
NPI:1851359079
Name:MILNER, MICHAEL S (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:S
Last Name:MILNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3600 GASTON AVE
Mailing Address - Street 2:STE.609 LB120
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75246-1806
Mailing Address - Country:US
Mailing Address - Phone:214-826-8201
Mailing Address - Fax:214-827-8515
Practice Address - Street 1:3600 GASTON AVE
Practice Address - Street 2:STE. 609 LB120
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-1806
Practice Address - Country:US
Practice Address - Phone:214-826-8201
Practice Address - Fax:214-827-8515
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2011-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ1316207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8F0811OtherBCBS
TX115090604Medicaid
TX115090604Medicaid