Pamela Miles, P.T.
Individual provider Active NPI Physical Therapist · Tuscola, TX
NPI 1124263132 · NPPES record last updated Dec 4, 2008
Key facts
- NPI
- 1124263132
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1090868 (TX)
- Practice address
- 375 County Road 606
Tuscola, TX 79562-2643 - Phone
- (325) 572-5050
- NPI assigned
- Dec 4, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1090868 | TX | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1090868 | TX | Yes |
Addresses
Primary practice location
375 County Road 606
Tuscola, TX 79562-2643
Mailing address
375 County Road 606
Tuscola, TX 79562-2643
Phone (325) 572-5050
Other providers in Tuscola, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.