| Miller Pediatrics, P.a. | |
|
103 E Frey St Stephenville TX 76401-2603 | |
| (254) 918-2484 | |
| (254) 965-3294 |
| Full Name | Miller Pediatrics, P.a. |
|---|---|
| Speciality | Clinic/center |
| Location | 103 E Frey St, Stephenville, Texas |
| Authorized Official Name and Position | Kelly Ann Miller (PHYSICIAN) |
| Authorized Official Contact | 2549182484 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miller Pediatrics, P.a. 103 E Frey St Stephenville TX 76401-2603 Ph: (254) 918-2484 | Miller Pediatrics, P.a. 103 E Frey St Stephenville TX 76401-2603 Ph: (254) 918-2484 |
| NPI Number | 1699891424 |
|---|---|
| Provider Enumeration Date | 03/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699891424 | NPI | - | NPPES |
| PO87083J2 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | K6487 (Texas) | Primary |
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