Provider Demographics
NPI:1316445521
Name:NORBERT MILANES, ANGEL RAFAEL (CSA)
Entity type:Individual
Prefix:
First Name:ANGEL
Middle Name:RAFAEL
Last Name:NORBERT MILANES
Suffix:
Gender:M
Credentials:CSA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 E EDGEBROOK DR APT 1602
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77034-1445
Mailing Address - Country:US
Mailing Address - Phone:832-274-5381
Mailing Address - Fax:832-268-7043
Practice Address - Street 1:19618 LITTLE PINE LN
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-2673
Practice Address - Country:US
Practice Address - Phone:713-363-4943
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-23
Last Update Date:2018-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17-637246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant