Organization Active NPI

Miles Mahan MD PA

  • Obstetrics & Gynecology Physician
  • Humble, TX
National Provider Identifier
1114970456
Registry record updated Aug 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
J4320 Issued in TX
Legal business name
MILES MAHAN MD PA
Practice address
20031 W Lake Houston Pkwy
Suite#200
Humble, TX 77346-3432
Phone
(281) 812-4447
NPI assigned
May 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Miles Mahan, M.DNPI 1164478061
Title
Medical Doctor
Phone
(281) 812-4447

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X J4320 TX Primary

Addresses

Primary practice location

20031 W Lake Houston Pkwy
Suite#200
Humble, TX 77346-3432

Mailing address

20031 W Lake Houston Pkwy
Suite#200
Humble, TX 77346-3432
Phone (281) 812-4447

National Provider Directory

National Provider Directory

Locations

18951 N Memorial Dr
Ste 200
Humble, TX 77338

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282262400000",
    "number": "1114970456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20031 W LAKE HOUSTON PKWY",
            "address_2": "SUITE#200",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773463432",
            "telephone_number": "281-812-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20031 W LAKE HOUSTON PKWY",
            "address_2": "SUITE#200",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773463432",
            "telephone_number": "281-812-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILES MAHAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2010-08-20",
        "status": "A",
        "authorized_official_last_name": "MAHAN",
        "authorized_official_first_name": "MILES",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "281-812-4447",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "J4320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.