Robert Edwin Miles, PHD | |
1500 S Main St, Fort Worth, TX 76104-4917 | |
(817) 702-3636 | |
(817) 927-8769 |
Full Name | Robert Edwin Miles |
---|---|
Gender | Male |
Speciality | Psychologist |
Location | 1500 S Main St, Fort Worth, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689834186 | NPI | - | NPPES |
88877A | Other | TX | BCBS |
P00736154 | Other | TX | RAILROAD MEDICARE |
197008901 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 33304 (Texas) | Primary |
Entity Name | Acclaim Physician Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780076562 PECOS PAC ID: 4587963582 Enrollment ID: O20160426000707 |
Mailing Address | Practice Location Address |
---|---|
Robert Edwin Miles, PHD Po Box 732973, Dallas, TX 75373-2973 Ph: (817) 702-2450 | Robert Edwin Miles, PHD 1500 S Main St, Fort Worth, TX 76104-4917 Ph: (817) 702-3636 |
Dr. Cortney B Wolfe-christensen, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 750 8th Ave Fl 6, Fort Worth, TX 76104 Phone: 682-303-0376 Fax: 682-303-0377 | |
Helen B Ferguson, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3840 Hulen St, Htn, Client Accounting, Fort Worth, TX 76107 Phone: 817-569-4395 Fax: 817-569-4517 | |
Dr. Woody Cal Childress, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5658 Westcreek Dr Ste 400, Fort Worth, TX 76133 Phone: 817-731-2468 | |
Saul Rodriguez, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4545 Bellaire Dr S Ste 6, Fort Worth, TX 76109 Phone: 817-657-1115 | |
Khalid Rashdan, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3200 Saint Juliet St, 2212, Fort Worth, TX 76107 Phone: 817-583-2485 | |
Dr. Nichelle E. Wiggins, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 3804 E Lancaster Ave, Fort Worth, TX 76103 Phone: 817-744-8355 Fax: 817-744-8356 | |
Victoria M Mccain, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 1516 Cooper St, Fort Worth, TX 76104 Phone: 682-885-1480 Fax: 682-885-3600 |