MEDICARE: MR. MIKLOS MAJOR II FNP

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	363LF0000X	Family Nurse Practitioner	AP110942	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	8Y0235	OTHER	TX	BCBS NUMBER

General Provider Information

NPI Number	:	1669586350
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MIKLOS MAJOR II FNP

Provider Business Mailing Address
First Line	:	PO BOX 1347
Second Line	:
City	:	ADDISON
State	:	TX
Zip	:	75001-1347
Country	:	US
Telephone Number	:	888-439-6560
Fax Number	:	972-991-4026

Provider Business Practice Location Address
First Line	:	3330 EARHART DR STE 206
Second Line	:
City	:	CARROLLTON
State	:	TX
Zip	:	75006-5041
Country	:	US
Telephone Number	:	888-439-6560
Fax Number	:

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

Provider Enumeration Date	:	08/18/2006
Last Update Date	:	02/16/2026

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