| Shane B. Mills, D.o. | |
|
15930 S Great Oaks Dr A-200 Round Rock TX 78681-5526 | |
| (512) 246-3338 | |
| (512) 346-3368 |
| Full Name | Shane B. Mills, D.o. |
|---|---|
| Speciality | Family Medicine |
| Location | 15930 S Great Oaks Dr, Round Rock, Texas |
| Authorized Official Name and Position | Shane B Mills (PRESIDENT) |
| Authorized Official Contact | 5122463338 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shane B. Mills, D.o. 15930 S Great Oaks Dr A-200 Round Rock TX 78681-5526 Ph: (512) 246-3338 | Shane B. Mills, D.o. 15930 S Great Oaks Dr A-200 Round Rock TX 78681-5526 Ph: (512) 246-3338 |
| NPI Number | 1104813567 |
|---|---|
| Provider Enumeration Date | 09/30/2005 |
| Last Update Date | 10/17/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104813567 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | H8260 (Texas) | Primary |
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