Organization Active NPI

Milagro Mio, PLLC

  • Health Service Clinic/Center
  • Wylie, TX
National Provider Identifier
1952993685
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
MILAGRO MIO, PLLC
Practice address
801 S Highway 78 Ste 207
Wylie, TX 75098-4000
Phone
(214) 422-1047
NPI assigned
Feb 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Authorized official

Name
Mark L UrishNPI 1437475514
Title
Managing Member
Phone
(214) 422-1047

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
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

801 S Highway 78 Ste 207
Wylie, TX 75098-4000

Mailing address

801 S Highway 78 Ste 207
Wylie, TX 75098-4000
Phone (214) 422-1047

National Provider Directory

National Provider Directory

Locations

801 S Highway 78
Ste 207
Wylie, TX 75098
Phone (214) 422-1047

Practitioners & affiliated clinicians

Practitioners 1

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": "1612396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649289600000",
    "number": "1952993685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S HIGHWAY 78 STE 207",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750984000",
            "telephone_number": "214-422-1047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S HIGHWAY 78 STE 207",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750984000",
            "telephone_number": "214-422-1047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILAGRO MIO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-04",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A",
        "authorized_official_last_name": "URISH",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "214-422-1047"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wylie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; 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.