Provider Demographics
NPI:1255140570
Name:LILES, MILAGROS LEE
Entity type:Individual
Prefix:
First Name:MILAGROS
Middle Name:LEE
Last Name:LILES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2607 WINGATE CT
Mailing Address - Street 2:
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77845-3841
Mailing Address - Country:US
Mailing Address - Phone:979-218-2386
Mailing Address - Fax:
Practice Address - Street 1:2607 WINGATE CT
Practice Address - Street 2:
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77845-3841
Practice Address - Country:US
Practice Address - Phone:979-218-2386
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-01
Last Update Date:2025-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter