Organization · NPI-2

Miller Pediatrics, P.A.

Clinic/Center · Stephenville, TX

NPI number1699891424
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1699891424
Entity type
Organization (NPI-2)
Legal business name
Miller Pediatrics, P.A.
Organization subpart
No
Enumeration date
Mar 22, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Centerk6487TXYes

Practice location

103 E Frey St
Stephenville, TX 76401-2603

Phone 254-918-2484 · Fax 254-965-3294

Mailing address

103 E Frey St
Stephenville, TX 76401-2603

Phone 254-918-2484 · Fax 254-965-3294

Authorized official

Kelly Ann Miller
Physician
2549182484

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Clinic/Center providers in Stephenville, TX