Organization
JASON C MILLER DPM PA
Active
Organization
JASON C MILLER DPM PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT PENNELL (PRACTICE ADMINISTRATOR)
(281) 348-2166
Entity
Organization
Contact information
Practice address
1330 KINGWOOD DR STE 200, KINGWOOD, TX 77339-3038
(281) 348-2166
(281) 358-2153
Mailing address
25511 BUDDE RD STE 3701, THE WOODLANDS, TX 77380-4173
(281) 348-2166
(281) 358-2153
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
1555
TX
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146769804
—
TX
05
—
177385501
—
TX
Enumeration date
10/23/2007
Last updated
01/28/2026
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