Provider Demographics
NPI:1326311887
Name:KENT A MILLER PC
Entity Type:Organization
Organization Name:KENT A MILLER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTIC PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:KENT
Authorized Official - Middle Name:ALBERT
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:936-788-6565
Mailing Address - Street 1:3504 W DAVIS ST
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77304-1832
Mailing Address - Country:US
Mailing Address - Phone:936-788-6565
Mailing Address - Fax:855-460-7005
Practice Address - Street 1:3504 W DAVIS ST
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77304-1832
Practice Address - Country:US
Practice Address - Phone:936-788-6565
Practice Address - Fax:855-460-7005
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KENT A MILLER PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-02-14
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC5050111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty