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Organization
MILES OF CHIROPRACTIC CLINIC LLC
Active
Organization
MILES OF CHIROPRACTIC CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE L MILES DC (OWNER)
(281) 538-2062
Entity
Organization
Contact information
Practice address
2450 S SHORE BLVD, STE 200, LEAGUE CITY, TX 77573-2994
(281) 538-2062
(281) 538-6309
Mailing address
2450 S SHORE BLVD, STE 200, LEAGUE CITY, TX 77573-2996
(281) 538-2062
(281) 538-6309
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8718
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0027NE
BLUE CROSS BLUE SHIELD
TX
01
—
7127260
AETNA INSURANCE
TX
01
—
DC8718
WORKERS COMP
TX
Enumeration date
07/23/2006
Last updated
04/28/2008
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