Healthcare Provider Details

I. General information

NPI: 1023760162
Provider Name (Legal Business Name): DAWN DENISE MILLER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/20/2022
Last Update Date: 01/20/2022
Certification Date: 01/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27800 NORTHWEST FWY
CYPRESS TX
77433-5302
US

IV. Provider business mailing address

PO BOX 1616
CLEVELAND TX
77328-1616
US

V. Phone/Fax

Practice location:
  • Phone: 346-231-4000
  • Fax:
Mailing address:
  • Phone: 832-343-0316
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: