Organization Active NPI

Larry K. Milner, M.D., P.a.

  • Specialist
  • Pasadena, TX
National Provider Identifier
1396933073
Registry record updated Mar 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D9572 Issued in TX
Legal business name
LARRY K. MILNER, M.D., P.A.
Doing business as
Larry K. Milner, M.D., P.A.
Practice address
3333 Bayshore Blvd
Suite 300
Pasadena, TX 77504-1952
Phone
(713) 946-9444
Fax
(713) 946-9448
NPI assigned
Oct 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2012

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

Authorized official

Name
Dr. Larry Milner, M.D.NPI 1285629725
Title
Owner
Phone
(713) 946-9444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X D9572 TX Primary

Addresses

Primary practice location

3333 Bayshore Blvd
Suite 300
Pasadena, TX 77504-1952

Mailing address

3333 Bayshore Blvd
Suite 300
Pasadena, TX 77504-1952
Phone (713) 946-9444

Other identifiers 1

IdentifierTypeStateIssuer
150612301MedicaidTX

Other names 1

  • Larry K. Milner, M.D., P.A. Doing business as

National Provider Directory

National Provider Directory

Locations

6243 Fairmont Pkwy
Ste 202
Pasadena, TX 77505
Phone (281) 991-6400

3333 Bayshore Blvd
Ste 300
Pasadena, TX 77504
Phone (281) 487-6057

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1396933073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 BAYSHORE BLVD",
            "address_2": "SUITE 300",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775041952",
            "telephone_number": "713-946-9444",
            "fax_number": "713-946-9448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 BAYSHORE BLVD",
            "address_2": "SUITE 300",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775041952",
            "telephone_number": "713-946-9444",
            "fax_number": "713-946-9448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY K. MILNER, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2012-03-30",
        "status": "A",
        "authorized_official_last_name": "MILNER",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-946-9444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "D9572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150612301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Larry K. Milner, M.D., P.A.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasadena, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; 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.