# ADAM S. MINER, MD, PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Promenade Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245416619
- **Authorized official:** DR. ADAM S MINER MD (PHYSICIAN/OWNER)
- **Authorized official phone:** (972) 234-6868

## Contact information

- **Practice address:** 1120 W CAMPBELL RD, SUITE 111, RICHARDSON, TX 75080-2976
- **Practice address phone:** (972) 234-6868
- **Practice address fax:** (972) 238-1235
- **Mailing address:** PO BOX 796534, DALLAS, TX 75379-6534
- **Mailing address phone:** (972) 234-6868
- **Mailing address fax:** (972) 238-1235

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | J2689 | TX | Yes |
| 261Q00000X | Clinic/Center | J2689 | TX | — |

## Other

- **Enumeration date:** 01/16/2008
- **Last updated:** 05/15/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 080185401 | — | TX |