Martha Gail Miller

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

320900000 Issued in TX

Legal business name

MARTHA GAIL MILLER

Practice address

16103 Saint Paul Dr
Malakoff, TX 75148-4370

Phone

(903) 288-3583

Fax

(903) 489-1814

NPI assigned

Jul 16, 2007

Last updated

Jul 16, 2007By 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

Mrs. Martha Gail Miller

Title

Sole Proprietor/Program Manager

Phone

(903) 288-3583

Specialties & licenses 1

Addresses

Tax ID family

Christian Life Residential Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Christian Life Residential Services

  dba Martha Gail Miller

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Malakoff, TX
  • NPI 1578816799
  NPD tax ID

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184544000000",
    "number": "1972702298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16103 SAINT PAUL DR",
            "city": "MALAKOFF",
            "state": "TX",
            "postal_code": "751484370",
            "telephone_number": "903-288-3583",
            "fax_number": "903-489-1814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16103 SAINT PAUL DR",
            "city": "MALAKOFF",
            "state": "TX",
            "postal_code": "751484370",
            "telephone_number": "903-288-3583",
            "fax_number": "903-489-1814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTHA GAIL MILLER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2007-07-16",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "GAIL",
        "authorized_official_title_or_position": "SOLE PROPRIETOR/PROGRAM MANAGER",
        "authorized_official_telephone_number": "903-288-3583",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "TX",
            "license": "320900000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Johnston Lahey
• Donald Gene Lewis
• Erin Loper, BCBA, LBA
• Malakoff I.S.D.
• Malakoff Prescription Shop, Inc
• Alvon Joseph McBride, PT
• Georgette Carolyn Nichols, PHARMD
• Paul Sanner MD PA
• Amanda Nicole Reyes
• Julianna Royston, DDS

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Malakoff, TX
• Providers in Malakoff, TX by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.