Individual
KOMBETTA D MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4040 N MACARTHUR BLVD STE 116, IRVING, TX 75038-6430
(817) 798-2384
Mailing address
4040 N MACARTHUR BLVD STE 116, IRVING, TX 75038-6430
(817) 798-2384
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
1489352
TX
Other
Enumeration date
11/21/2020
Last updated
11/21/2020
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