Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | J8316 | TX |
NPI | 1023011715 |
---|---|
Provider Name | Dr. Lois M Miller |
First Address | Beaumont, TX 77701-4651 |
Second Address | Beaumont, TX 77701-4651 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B41953 | (02) | TX |