Geoffrey M Millican MD PA

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

M3024 Issued in TX

Legal business name

GEOFFREY M MILLICAN MD PA

Practice address

4375 Booth Calloway Rd
Ste 400
North Richland Hills, TX 76180-8359

Phone

(817) 616-0700

Fax

(817) 617-0709

NPI assigned

Oct 5, 2006

Organization subpart

No

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

Authorized official

Name

Geoffrey M Millican, M.D.

Title

Doctor-Owner

Phone

(817) 616-0700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• GEOFFREY M MILLICAN MD PA Doing business as

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1922194166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4375 BOOTH CALLOWAY RD",
            "address_2": "STE 400",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761808359",
            "telephone_number": "817-616-0700",
            "fax_number": "817-616-0709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4375 BOOTH CALLOWAY RD",
            "address_2": "STE 400",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761808359",
            "telephone_number": "817-616-0700",
            "fax_number": "817-617-0709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEOFFREY M MILLICAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "MILLICAN",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DOCTOR-OWNER",
        "authorized_official_telephone_number": "817-616-0700",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "TX",
            "license": "M3024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "M3024",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GEOFFREY M MILLICAN MD PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexis Dion Gathers, COTA/L
• Laurence T Gayao, M.D.
• Frank Robert Genco, M.D.
• Genesis Neuromonnitoring PLLC
• Genoa Healthcare LLC
• Geoffrey Scott, M.D., P.a.
• Cassaundra Cae Gerhart, FNP-C
• Tapati Ghosh, MD
• Jamaila M Gibala
• David L Gifford, M.D.

• Sports Medicine (Orthopaedic Surgery) Physician in North Richland Hills, TX
• Providers in North Richland Hills, TX by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.