Provider Demographics
NPI:1730270679
Name:MILLS, JOSEPH LOREN (MD)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:LOREN
Last Name:MILLS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1 BAYLOR PLAZA
Mailing Address - Street 2:MS 390
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030
Mailing Address - Country:US
Mailing Address - Phone:713-798-7857
Mailing Address - Fax:713-798-8911
Practice Address - Street 1:7200 CAMBRIDGE ST.
Practice Address - Street 2:SUITE B6
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030
Practice Address - Country:US
Practice Address - Phone:713-798-5700
Practice Address - Fax:713-798-8460
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ229702086S0129X
TX453862086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
F40884Medicare UPIN
AZ182600Medicaid
02WCGCR27Medicare ID - Type Unspecified