MEDICARE: DR. LOIS M MILLER D.O.

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	208100000X	Physical Medicine & Rehabilitation Physician	J8316	TX

General Provider Information

NPI Number	:	1023011715
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LOIS M MILLER D.O.

Provider Business Mailing Address
First Line	:	3150 MEDICAL CENTER DR
Second Line	:	STE 1
City	:	BEAUMONT
State	:	TX
Zip	:	77701-4651
Country	:	US
Telephone Number	:	409-835-0505
Fax Number	:	409-835-3700

Provider Business Practice Location Address
First Line	:	3150 MEDICAL CENTER DR
Second Line	:	STE 1
City	:	BEAUMONT
State	:	TX
Zip	:	77701-4651
Country	:	US
Telephone Number	:	409-835-0505
Fax Number	:	409-835-3700

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

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	07/08/2007

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Directions to “ DR. LOIS M MILLER D.O.” Practice Location

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