MEDICARE: HOPE N 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
1	363LC1500X	Community Health Nurse Practitioner	1150860	TX
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	1150860	TX
3	363LP2300X	Primary Care Nurse Practitioner	1150860	TX
4	363LX0106X	Occupational Health Nurse Practitioner	1150860	TX
5	363LF0000X	Family Nurse Practitioner	1150860	TX

General Provider Information

NPI Number	:	1215799853
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOPE N MILLER

Provider Business Mailing Address
First Line	:	6255 W SUNSET BLVD FL 21
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90028-7422
Country	:	US
Telephone Number	:	323-860-5200
Fax Number	:	323-467-7119

Provider Business Practice Location Address
First Line	:	1435 WESTHEIMER RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77006-2616
Country	:	US
Telephone Number	:	713-520-2338
Fax Number	:	888-919-8234

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

Provider Enumeration Date	:	01/29/2024
Last Update Date	:	06/20/2024

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Directions to “ HOPE N MILLER ” Practice Location

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