Provider Demographics
NPI:1548414105
Name:JAMES D MILLER DC LLC
Entity Type:Organization
Organization Name:JAMES D MILLER DC LLC
Other - Org Name:MILLER ATLAS CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:D
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:832-864-2129
Mailing Address - Street 1:201 ENTERPRISE AVE
Mailing Address - Street 2:SUITE # 600-C
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-3082
Mailing Address - Country:US
Mailing Address - Phone:832-864-2129
Mailing Address - Fax:832-864-3568
Practice Address - Street 1:201 ENTERPRISE AVE
Practice Address - Street 2:SUITE # 600-C
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-3082
Practice Address - Country:US
Practice Address - Phone:832-864-2129
Practice Address - Fax:832-864-3568
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-10
Last Update Date:2016-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12622111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY6514Medicare PIN
TX6514Medicare PIN