Organization
MISSY AND CLARK MILLER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA MILLER RD/LD (OWNER)
(214) 578-9168
Entity
Organization
Contact information
Practice address
11128 SHEFFIELD DR, ANNA, TX 75409-7670
(214) 578-9168
Mailing address
11128 SHEFFIELD DR, ANNA, TX 75409-7670
(214) 578-9168
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124717129
SINGLE PROVIDER
TX
Enumeration date
02/19/2024
Last updated
02/19/2024
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