OrganizationActive
Shane B. Mills, D.O.
NPI 1104813567 · Family Medicine Physician · Round Rock, TX
Provider details
- NPI number
- 1104813567
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shane Mills, President(512) 246-3338
- License
- H8260 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
15930 S Great Oaks Dr
A-200
Round Rock, TX 78681-5526
Phone: (512) 246-3338
Fax: (512) 346-3368
Street-level locationGet directions
Mailing address
15930 S Great Oaks Dr
Round Rock, TX 78681-5526
Registry dates
- Enumerated
- 2005-09-30
- Last updated
- 2007-10-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.