Provider Demographics
NPI:1871556480
Name:MILEWICZ, ALLEN L (MD)
Entity type:Individual
Prefix:
First Name:ALLEN
Middle Name:L
Last Name:MILEWICZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2 GREENWAY PLAZA
Mailing Address - Street 2:SUITE 910
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77046
Mailing Address - Country:US
Mailing Address - Phone:713-798-1750
Mailing Address - Fax:713-798-1144
Practice Address - Street 1:6624 FANNIN ST
Practice Address - Street 2:STE 1590
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2312
Practice Address - Country:US
Practice Address - Phone:713-796-2327
Practice Address - Fax:713-796-0397
Is Sole Proprietor?:No
Enumeration Date:2006-04-07
Last Update Date:2008-09-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXH19002086S0120X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0120XAllopathic & Osteopathic PhysiciansSurgeryPediatric Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX112545202Medicaid
TX110325104Medicaid
TX8G8750Medicare PIN
TX112545202Medicaid
TX8L0766Medicare PIN