Provider Demographics
NPI:1245775329
Name:MILES, DEVIN (ND)
Entity Type:Individual
Prefix:
First Name:DEVIN
Middle Name:
Last Name:MILES
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3400 BISSONNET ST STE 270
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77005-2192
Mailing Address - Country:US
Mailing Address - Phone:281-231-2811
Mailing Address - Fax:888-977-1809
Practice Address - Street 1:7500 SAN FELIPE ST
Practice Address - Street 2:STE 600
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-1707
Practice Address - Country:US
Practice Address - Phone:713-706-6166
Practice Address - Fax:888-977-1809
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-28
Last Update Date:2018-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ16-1547175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath