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Individual

DR. JERRY KEITH MILES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
17215 RED OAK DR, SUITE 102, HOUSTON, TX 77090-2697
(281) 444-4114
(281) 444-7789
Mailing address
17215 RED OAK DR, SUITE 102, HOUSTON, TX 77090-2697
(281) 444-4114
(281) 444-7789

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1327
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
127189202
TX
01
80203X
BCBS
TX
Enumeration date
06/26/2006
Last updated
02/18/2008
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