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

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