Organization Active NPI

Gary E Miller M D P a

  • Psychiatry Physician
  • Houston, TX
National Provider Identifier
1689690166
Registry record updated May 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
GARY E MILLER M D P A
Practice address
17115 Red Oak Dr
Suite 119
Houston, TX 77090-2640
Phone
(281) 440-6899
Fax
(281) 587-1164
NPI assigned
Jul 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2013

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

Authorized official

Name
Mr. Gary E Miller, M DNPI 1770503336
Title
Owner/President
Phone
(281) 440-6899

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
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

17115 Red Oak Dr
Suite 119
Houston, TX 77090-2640

Mailing address

17115 Red Oak Dr
Suite 119
Houston, TX 77090-2641
Phone (281) 440-6899

Other identifiers 1

IdentifierTypeStateIssuer
2191983-01MedicaidTX

Other names 1

  • Alternative Services Network Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100218000031 TX Part B Supplier - Clinic/Group Practice 5890839641 Receives reassigned benefits from 2 practitioners
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

530 Wells Fargo Dr
Ste 110
Houston, TX 77090
Phone (281) 440-6899

17115 Red Oak Dr
Ste 119
Houston, TX 77090
Phone (281) 440-6899

2001 Ladbrook Dr
Kingwood, TX 77339
Phone (281) 358-1495

Practitioners & affiliated clinicians

Practitioners 2

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": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369872000000",
    "number": "1689690166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17115 RED OAK DR",
            "address_2": "SUITE 119",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902641",
            "telephone_number": "281-440-6899",
            "fax_number": "281-587-1164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17115 RED OAK DR",
            "address_2": "SUITE 119",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902640",
            "telephone_number": "281-440-6899",
            "fax_number": "281-587-1164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY E MILLER M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2013-05-30",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "281-440-6899",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2191983-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alternative Services Network",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.