Healthcare Provider Details

I. General information

NPI: 1003379439
Provider Name (Legal Business Name): ALLISON MILLER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2019
Last Update Date: 01/29/2025
Certification Date: 01/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1720 E WHITESTONE BLVD STE A
CEDAR PARK TX
78613-7641
US

IV. Provider business mailing address

408 W 45TH ST
AUSTIN TX
78751-3014
US

V. Phone/Fax

Practice location:
  • Phone: 512-451-5800
  • Fax: 512-459-1399
Mailing address:
  • Phone: 512-320-1500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberV2791
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: