Provider Demographics
NPI:1003818394
Name:MILLER-MILES, KIMBERLY R (MD)
Entity Type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:R
Last Name:MILLER-MILES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KIMBERLY
Other - Middle Name:R
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7900 FANNIN ST STE 4400
Mailing Address - Street 2:WOMEN'S PELVIC RESTORATIVE CENTER, PLLC
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-2949
Mailing Address - Country:US
Mailing Address - Phone:713-512-7600
Mailing Address - Fax:281-338-2982
Practice Address - Street 1:7900 FANNIN ST STE 4400
Practice Address - Street 2:WOMEN'S PELVIC RESTORATIVE CENTER, PLLC
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2949
Practice Address - Country:US
Practice Address - Phone:713-512-7600
Practice Address - Fax:281-338-2982
Is Sole Proprietor?:No
Enumeration Date:2005-06-01
Last Update Date:2015-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM0493207VG0400X, 207VF0040X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VF0040XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyFemale Pelvic Medicine and Reconstructive Surgery
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP00338570OtherRAILROAD
TX8J0892OtherBLUE CROSS & BLUE SHIELD
TX8D5249Medicare PIN
TX8D5250Medicare PIN
TX8D5251Medicare PIN
TX8D5251Medicare PIN