Individual
JAMIE L MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3027 MARINA BAY DR, STE 105, LEAGUE CITY, TX 77573-2772
(281) 538-2062
(281) 538-1046
Mailing address
3027 MARINA BAY DR, STE 105, LEAGUE CITY, TX 77573-2772
(281) 538-2062
(281) 538-6309
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8718
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
470947661
TAX ID
TX
01
—
7127260
AETNA INSURANCE
TX
01
—
8U7930
BCBS
TX
01
—
DC8718
WORKERS COMP
TX
Enumeration date
07/25/2006
Last updated
10/30/2019
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