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NPI Code Detail

MEDICARE: DR. LISA JEAN MILLER PHARM.D.

MEDICARE: DR. LISA JEAN MILLER PHARM.D.
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
11835P1300XPsychiatric Pharmacist30027TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
133027OTHERTXPHARMACIST

General Provider Information

NPI Number : 1265433809
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LISA JEAN MILLER PHARM.D.
Provider Business Mailing Address
First Line : 2002 HOLCOMBE BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77030-4211
Country : US
Telephone Number : 713-791-1414
Fax Number :
Provider Business Practice Location Address
First Line : 2002 HOLCOMBE BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77030-4211
Country : US
Telephone Number : 713-791-1414
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2005
Last Update Date : 07/08/2007

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