Kombetta D Miles
Prosthetist in Irving, TX. Individual provider (NPI-1).
NPI number1275136152
StatusActive
Last updated in NPPESNov 21, 2020
Details
- NPI
- 1275136152
- Entity type
- Individual (NPI-1)
- Name
- Kombetta D Miles
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 21, 2020
- Certification date
- Nov 20, 2020
- Last updated
- Nov 21, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224P00000X | Prosthetist | 1489352 | TX | Yes |
Other names
- Kombetta Rodgers Miles (Professional Name)
Practice location
4040 N Macarthur Blvd Ste 116Irving, TX 75038-6430
Phone 817-798-2384
Mailing address
4040 N Macarthur Blvd Ste 116Irving, TX 75038-6430
Phone 817-798-2384
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