# DR. AUDREY BETTINA MIKLIUS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1689628257
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | K1877 | TX | Yes |

## Other

- **Enumeration date:** 05/19/2006
- **Last updated:** 09/23/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4415210 | AETNA | TX |
| 01 | — | 84680J | BCBS | TX |
| 05 | — | PO84680J | — | TX |