Provider Demographics
NPI:1023011715
Name:MILLER, LOIS M (DO)
Entity Type:Individual
Prefix:DR
First Name:LOIS
Middle Name:M
Last Name:MILLER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3150 MEDICAL CENTER DR
Mailing Address - Street 2:STE 1
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77701-4651
Mailing Address - Country:US
Mailing Address - Phone:409-835-0505
Mailing Address - Fax:409-835-3700
Practice Address - Street 1:3150 MEDICAL CENTER DR
Practice Address - Street 2:STE 1
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77701-4651
Practice Address - Country:US
Practice Address - Phone:409-835-0505
Practice Address - Fax:409-835-3700
Is Sole Proprietor?:No
Enumeration Date:2005-05-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ8316208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00T37MMedicare ID - Type Unspecified
TXB41953Medicare UPIN