Organization Active NPI

Milam Medical

  • Rural Health Clinic/Center
  • Cameron, TX
National Provider Identifier
1003426875
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MILAM MEDICAL
Practice address
908 N Crockett Ave
Cameron, TX 76520-2560
Phone
(254) 654-6327
NPI assigned
Aug 5, 2020
Last updated
Aug 5, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Danielle Brooke Janicek, FNP
Title
Owner
Phone
(254) 654-6327

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

908 N Crockett Ave
Cameron, TX 76520-2560

Mailing address

PO Box 1204
Cameron, TX 76520-8204
Phone (254) 654-6327

National Provider Directory

National Provider Directory

Locations

908 N Crockett Ave
Cameron, TX 76520
Phone (254) 605-0373

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596585600000",
    "number": "1003426875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1204",
            "city": "CAMERON",
            "state": "TX",
            "postal_code": "765208204",
            "telephone_number": "254-654-6327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 N CROCKETT AVE",
            "city": "CAMERON",
            "state": "TX",
            "postal_code": "765202560",
            "telephone_number": "254-654-6327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILAM MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-05",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A",
        "authorized_official_last_name": "JANICEK",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "BROOKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-654-6327",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cameron, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.