Provider Demographics
NPI:1245596311
Name:MILLER FAMILY CHIROPRACTIC CARE
Entity Type:Organization
Organization Name:MILLER FAMILY CHIROPRACTIC CARE
Other - Org Name:FAMILY WELLNESS CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:956-534-6070
Mailing Address - Street 1:4949 S JACKSON RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-7200
Mailing Address - Country:US
Mailing Address - Phone:956-365-9355
Mailing Address - Fax:
Practice Address - Street 1:4949 S JACKSON RD
Practice Address - Street 2:SUITE B
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-7200
Practice Address - Country:US
Practice Address - Phone:956-365-9355
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-03
Last Update Date:2014-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF009832111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty