Miller Pediatrics, P.a.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

K6487 Issued in TX

Legal business name

MILLER PEDIATRICS, P.A.

Practice address

103 E Frey St
Stephenville, TX 76401-2603

Phone

(254) 918-2484

Fax

(254) 965-3294

NPI assigned

Mar 22, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kelly Ann Miller, D.O.NPI 1285783696

Title

Physician

Phone

(254) 918-2484

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelly Miller, D.O.

  • Pediatrics Physician
  • Stephenville, TX
  • NPI 1285783696
  Authorized official Same address or phone

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699891424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 E FREY ST",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764012603",
            "telephone_number": "254-918-2484",
            "fax_number": "254-965-3294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E FREY ST",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764012603",
            "telephone_number": "254-918-2484",
            "fax_number": "254-965-3294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER PEDIATRICS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "254-918-2484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "K6487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PO87083J2",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer McQuerry
• Sameer Mehta
• Paulina Meneses
• Argenis Merino Morales
• Elizabeth V. Mewhinney, LPC
• Kelly Miller, D.O.
• Melissa Mincy
• Mark G Mishak II, PA
• Laura Montgomery, OTR
• Luke Montgomery, ACT, LAT

• Clinic/Center in Stephenville, TX
• Providers in Stephenville, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.