MEDICARE: MRS. DEBRA ANN MILLER MHSPT, CHT

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	225100000X	Physical Therapist	1145035	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0079657	OTHER	TX	BLUELINK
2	2324970	OTHER	TX	UNITED HEALTH CARE
3	8T2516	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1861498958
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DEBRA ANN MILLER MHSPT, CHT

Provider Business Mailing Address
First Line	:	1200 BINZ ST
Second Line	:	SUITE 100
City	:	HOUSTON
State	:	TX
Zip	:	77004-6900
Country	:	US
Telephone Number	:	281-363-1230
Fax Number	:

Provider Business Practice Location Address
First Line	:	1200 BINZ ST
Second Line	:	SUITE 100
City	:	HOUSTON
State	:	TX
Zip	:	77004-6900
Country	:	US
Telephone Number	:	281-363-1230
Fax Number	:

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

Provider Enumeration Date	:	06/23/2005
Last Update Date	:	04/22/2013

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