Doctor Name: | TOMMY CLAY MILLS |
NPI Number: | 1164697207 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | DRO410 |
Business Practice Address: | 610 Johnson St Big Spring, TX - 797202851 |
Business Phone Number: | 4322675151 |
Business Fax Number: | 4322674651 |
Mailing Address: | 610 Johnson St, BIG SPRING |
State: | TX |
Postal Code: | 797202851 |
Phone Number: | 4322675151 |
Fax Number: | 4322674651 |
NPI Enumeration Date: | 04/29/2008 |
NPI Last Update Date: | 04/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | DRO410 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |