Organization
MILLER PEDIATRICS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY ANN MILLER D.O. (PHYSICIAN)
(254) 918-2484
Entity
Organization
Contact information
Practice address
103 E FREY ST, STEPHENVILLE, TX 76401-2603
(254) 918-2484
(254) 965-3294
Mailing address
103 E FREY ST, STEPHENVILLE, TX 76401-2603
(254) 918-2484
(254) 965-3294
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
K6487
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PO87083J2
—
TX
Enumeration date
03/22/2007
Last updated
08/22/2020
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