Provider Demographics
NPI:1184601494
Name:MILLWEE, ROBERT HUGHES IV (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:HUGHES
Last Name:MILLWEE
Suffix:IV
Gender:M
Credentials:MD
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Mailing Address - Street 1:906 W MCDERMOTT DR # 116-371
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-6510
Mailing Address - Country:US
Mailing Address - Phone:469-541-1600
Mailing Address - Fax:469-541-1612
Practice Address - Street 1:4510 MEDICAL CENTER DR STE 211
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-1602
Practice Address - Country:US
Practice Address - Phone:469-541-1600
Practice Address - Fax:469-541-1612
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-28
Last Update Date:2023-08-29
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Provider Licenses
StateLicense IDTaxonomies
TXJ5617207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX124914602Medicaid
TX124914602Medicaid
TX8F3639Medicare PIN