Provider Demographics
NPI:1154963890
Name:MILLIGAN, VIRGINIA C (FNP)
Entity type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:C
Last Name:MILLIGAN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2823 GREEN FIELDS DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-1804
Mailing Address - Country:US
Mailing Address - Phone:281-639-0234
Mailing Address - Fax:
Practice Address - Street 1:9721 BROADWAY ST STE 111
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-8170
Practice Address - Country:US
Practice Address - Phone:713-436-3637
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-15
Last Update Date:2019-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP142935208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics