Individual
DR. AUDREY BETTINA MIKLIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10260 N CENTRAL EXPY STE 100N, DALLAS, TX 75231-3437
(214) 363-5535
(214) 368-2760
Mailing address
10260 N CENTRAL EXPY STE 100N, DALLAS, TX 75231-3437
(214) 363-5535
(214) 368-2760
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
K1877
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4415210
AETNA
TX
01
—
84680J
BCBS
TX
05
—
PO84680J
—
TX
Enumeration date
05/19/2006
Last updated
09/23/2021
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