Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mallory Milligan

Individual provider Physician Assistant · NPI 1518656404

Mallory Milligan is a Physician Assistant in Fort Worth, Texas. Qualified in 2023, 3 years ago. Practices with Texas Health Physicians Group, a 1,356-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
3
Licensed in
TX
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

6100 Lake Worth Blvd
Fort Worth, TX 76135-3703
Phone: (817) 237-3321
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Physician Assistant Taxonomy 363A00000X · Licence PA17800 (TX)

Record details

NPI number1518656404
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 5, 2023
Last updated in NPPESMarch 22, 2024
Certification dateMarch 22, 2024
Mailing address1000 N Main St, Findlay, OH 45840-3653

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Texas Health Physicians Group — 1356 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Fort Worth