Provider Demographics
NPI:1881631315
Name:JOHN C. MILANI, M.D. P.A.
Entity type:Organization
Organization Name:JOHN C. MILANI, M.D. P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:C
Authorized Official - Last Name:MILANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-630-7494
Mailing Address - Street 1:1341 W MOCKINGBIRD LN
Mailing Address - Street 2:SUITE 710-E
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75247-6913
Mailing Address - Country:US
Mailing Address - Phone:214-630-7494
Mailing Address - Fax:214-630-2228
Practice Address - Street 1:1341 W MOCKINGBIRD LN
Practice Address - Street 2:SUITE 710-E
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75247-6913
Practice Address - Country:US
Practice Address - Phone:214-630-7494
Practice Address - Fax:214-630-2228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-01
Last Update Date:2007-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH6199208100000X
TXPA00289363AS0400X
TXF1824207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the SpineGroup - Multi-Specialty
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8645B6Medicare ID - Type UnspecifiedRICHARD A. ESPEY, M.D.
00671TMedicare PIN
TXR75041Medicare UPIN
TX8644B6Medicare ID - Type UnspecifiedJOHN C. MILANI, M.D.
TX87N929Medicare ID - Type UnspecifiedAMANDA COTTRELL, P.A.
TXC19373Medicare UPIN
TXF38912Medicare UPIN