# MILES MAHAN MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114970456
- **Authorized official:** DR. MILES MAHAN M.D (MEDICAL DOCTOR)
- **Authorized official phone:** (281) 812-4447

## Contact information

- **Practice address:** 20031 W LAKE HOUSTON PKWY, SUITE\#200, HUMBLE, TX 77346-3432
- **Practice address phone:** (281) 812-4447
- **Mailing address:** 20031 W LAKE HOUSTON PKWY, SUITE\#200, HUMBLE, TX 77346-3432
- **Mailing address phone:** (281) 812-4447

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | J4320 | TX | Yes |

## Other

- **Enumeration date:** 05/18/2006
- **Last updated:** 08/20/2010