Organization
ADVANCED COSMETIC SURGERY CTR WM K MILES MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM KEITH MILES MD (PRESIDENT)
(817) 336-9131
Entity
Organization
Contact information
Practice address
800 8TH AVENUE, SUITE 404, FORT WORTH, TX 76104-2618
(817) 336-9131
(817) 336-9457
Mailing address
800 8TH AVENUE, SUITE 404, FORT WORTH, TX 76104-2618
(817) 336-9131
(817) 336-9457
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
D2529
TX
Other
Enumeration date
05/14/2008
Last updated
05/14/2008
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