Provider Demographics
NPI:1740276740
Name:MILLETT, FAY E (MD)
Entity type:Individual
Prefix:DR
First Name:FAY
Middle Name:E
Last Name:MILLETT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 N OREGON ST
Mailing Address - Street 2:SUITE 209
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-3351
Mailing Address - Country:US
Mailing Address - Phone:915-532-3697
Mailing Address - Fax:915-532-3506
Practice Address - Street 1:1900 N OREGON ST
Practice Address - Street 2:SUITE 209
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-3351
Practice Address - Country:US
Practice Address - Phone:915-532-3697
Practice Address - Fax:915-532-3506
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD5444174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist