Provider Demographics
NPI:1295279438
Name:XIMENA MILLAN, M.D., P.A.
Entity type:Organization
Organization Name:XIMENA MILLAN, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:XIMENA
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-316-1866
Mailing Address - Street 1:14 BLUE BUNGALOW DR
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77389-4986
Mailing Address - Country:US
Mailing Address - Phone:832-316-1866
Mailing Address - Fax:832-426-7698
Practice Address - Street 1:14 BLUE BUNGALOW DR
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77389-4986
Practice Address - Country:US
Practice Address - Phone:832-316-1866
Practice Address - Fax:832-426-7698
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-07
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN3890207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty