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NPI Code Detail

MEDICARE: SUSAN MILLER

MEDICARE: SUSAN MILLER
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
1374J00000XDoula

General Provider Information

NPI Number : 1063837466
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN MILLER
Provider Business Mailing Address
First Line : 9010 SUNNY POINT DR
Second Line :
City : SPRING
State : TX
Zip : 77379-2334
Country : US
Telephone Number : 832-368-9669
Fax Number :
Provider Business Practice Location Address
First Line : 9010 SUNNY POINT DR
Second Line :
City : SPRING
State : TX
Zip : 77379-2334
Country : US
Telephone Number : 832-368-9669
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2014
Last Update Date : 02/22/2014

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Directions to “ SUSAN MILLER ” Practice Location

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