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Jason Milam

Specialist/Technologist, Other, Electroneurodiagnostic in San Antonio, TX. Individual provider (NPI-1).

NPI number1154857134
StatusActive
Last updated in NPPESMay 11, 2017

Details

NPI
1154857134
Entity type
Individual (NPI-1)
Name
Jason Milam
Sex
Male
Sole proprietor
No
Enumeration date
May 11, 2017
Last updated
May 11, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic––Yes

Practice location

1141 N Loop 1604 E # 105-612
San Antonio, TX 78232-1339

Phone 210-598-2800 · Fax 210-598-4236

Mailing address

1141 N Loop 1604 E # 105-612
San Antonio, TX 78232-1339

Phone 210-598-2800 · Fax 210-598-4236

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