MEDICARE: JASON CHRISTOPHER MILLER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	1555	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164411021
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASON CHRISTOPHER MILLER MD

Provider Business Mailing Address
First Line	:	25511 BUDDE RD STE 3701
Second Line	:
City	:	THE WOODLANDS
State	:	TX
Zip	:	77380-4173
Country	:	US
Telephone Number	:	281-348-2166
Fax Number	:	281-358-2153

Provider Business Practice Location Address
First Line	:	1330 KINGWOOD DR STE 200
Second Line	:
City	:	KINGWOOD
State	:	TX
Zip	:	77339-3038
Country	:	US
Telephone Number	:	281-348-2166
Fax Number	:	281-358-2153

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/13/2005
Last Update Date	:	01/23/2024

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