Individual
TINA MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
714 BROOKDALE CIR, GARLAND, TX 75040-3601
(214) 584-4164
Mailing address
714 BROOKDALE CIR, GARLAND, TX 75040-3601
(214) 584-4164
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
NA0008421990
TX
Other
Enumeration date
01/19/2024
Last updated
01/19/2024
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