Individual provider Active NPI

Lauren Miller, PA

  • Physician Assistant
  • Azle, TX
National Provider Identifier
1588901573
Registry record updated Jun 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA08236 Issued in TX
Practice address
909 Southeast Pkwy Ste 105
Azle, TX 76020-3600
Phone
(817) 238-0735
Fax
(817) 238-7327
NPI assigned
Jan 10, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA08236 TX Primary

Addresses

Primary practice location

909 Southeast Pkwy Ste 105
Azle, TX 76020-3600

Mailing address

909 Southeast Pkwy Ste 105
Azle, TX 76020-3600
Phone (817) 238-0735

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130520000111 TX Practitioner - Physician Assistant 7214174861 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

4001 Worth St
Dallas, TX 75246-1608

5232 Colleyville Blvd
Suite 100
Colleyville, TX 76034-7827
Phone (817) 912-9920

5408 Colleyville Blvd
Colleyville, TX 76034-5833
Phone (817) 498-9920

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
TEMPORARYTXMDHematology & Oncology Physician
PA08236TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group CurrentSince Feb 11, 2013 Accepting new patients
Healthtexas Provider Network CurrentSince Feb 19, 2024 Accepting new patients
Texas Health Physicians Group CurrentSince Feb 11, 2013 Accepting new patients
Healthtexas Provider Network CurrentSince Feb 19, 2024 Accepting new patients
Healthtexas Provider Network Past Accepting new patients

Locations

909 Southeast Pkwy
Ste 105
Azle, TX 76020
Phone (817) 237-0390

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

5232 Colleyville Blvd
Ste 100
Colleyville, TX 76034
Phone (817) 909-0925

301 N Washington Ave
Dallas, TX 75246
Phone (469) 800-8330

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996

Interoperability endpoints

  • Direct secure messaging: lmiller1281003@direct.sw.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1357776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370390400000",
    "number": "1588901573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 SOUTHEAST PKWY STE 105",
            "city": "AZLE",
            "state": "TX",
            "postal_code": "760203600",
            "telephone_number": "817-238-0735",
            "fax_number": "817-238-7327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 SOUTHEAST PKWY STE 105",
            "city": "AZLE",
            "state": "TX",
            "postal_code": "760203600",
            "telephone_number": "817-238-0735",
            "fax_number": "817-238-7327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LAUREN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-10",
        "last_updated": "2013-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA08236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Azle, TX

Sources for this page

Verify at the official NPI Registry.