Provider Demographics
NPI:1326276759
Name:MILLER, TARA N (MD)
Entity Type:Individual
Prefix:DR
First Name:TARA
Middle Name:N
Last Name:MILLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:TARA
Other - Middle Name:N
Other - Last Name:LAMMERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6565 FANNIN ST # M227
Mailing Address - Street 2:SUITE B490
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2703
Mailing Address - Country:US
Mailing Address - Phone:281-413-2730
Mailing Address - Fax:281-413-2730
Practice Address - Street 1:6565 FANNIN ST # M227
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2703
Practice Address - Country:US
Practice Address - Phone:281-413-2730
Practice Address - Fax:281-413-2730
Is Sole Proprietor?:No
Enumeration Date:2009-06-24
Last Update Date:2016-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ6540207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology