Provider Demographics
NPI:1275967218
Name:MILLER AUDIOLOGY AND HEARING AID DISPENSING PLLC
Entity Type:Organization
Organization Name:MILLER AUDIOLOGY AND HEARING AID DISPENSING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:214-696-9955
Mailing Address - Street 1:5445 LA SIERRA DR STE 230
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4185
Mailing Address - Country:US
Mailing Address - Phone:214-696-9955
Mailing Address - Fax:214-696-9956
Practice Address - Street 1:5445 LA SIERRA DR STE 230
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4185
Practice Address - Country:US
Practice Address - Phone:214-696-9955
Practice Address - Fax:214-696-9956
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-27
Last Update Date:2013-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50305231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty