NPI Code Details Logo

NPI 1730180340

NPI 1730180340 : KENT ALBERT MILLER D.C. : CONROE, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1730180340
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    KENT ALBERT MILLER D.C.
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    08/04/2005
-----------------------------------------------------
    Last Update Date     |    04/21/2023
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    3504 W. DAVIS ST. 
-----------------------------------------------------
    City                 |    CONROE
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    77304-1832
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    936-788-6565
-----------------------------------------------------
    Fax                  |    855-460-7005
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    3504 W. DAVIS ST. 
-----------------------------------------------------
    City                 |    CONROE
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    77304-1832
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    936-788-6565
-----------------------------------------------------
    Fax                  |    855-460-7005
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    111N00000X
-----------------------------------------------------
    Taxonomy Name        |    Chiropractor
-----------------------------------------------------
    License Number       |    5050
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.