Provider Demographics
NPI:1316132681
Name:MILORD, YVES MAURICE
Entity type:Individual
Prefix:MR
First Name:YVES
Middle Name:MAURICE
Last Name:MILORD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3037 DOROTHY LN
Mailing Address - Street 2:
Mailing Address - City:GLENN HEIGHTS
Mailing Address - State:TX
Mailing Address - Zip Code:75154-3861
Mailing Address - Country:US
Mailing Address - Phone:469-583-8189
Mailing Address - Fax:
Practice Address - Street 1:3037 DOROTHY LN
Practice Address - Street 2:
Practice Address - City:GLENN HEIGHTS
Practice Address - State:TX
Practice Address - Zip Code:75154-3861
Practice Address - Country:US
Practice Address - Phone:469-583-8189
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-10
Last Update Date:2007-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX120876310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility