Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | M0493 | TX |
N | 207VG0400X | Gynecologist | M0493 | TX |
NPI | 1003818394 |
---|---|
Provider Name | Dr. Kimberly R Miller-Miles |
First Address | Houston, TX 77054-2949 |
Second Address | Houston, TX 77054-2949 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2005 |
Last Update Date | 11/09/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8J0892 | BLUE CROSS & BLUE SHIELD (01) | TX |
P00338570 | RAILROAD (01) | TX |