Provider Demographics
NPI:1568734424
Name:MILLER, SUZANNE KILCOYNE (MD)
Entity Type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:KILCOYNE
Last Name:MILLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1412 HAROLD ST UNIT C
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77006-3730
Mailing Address - Country:US
Mailing Address - Phone:713-252-3230
Mailing Address - Fax:
Practice Address - Street 1:6411 FANNIN ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1501
Practice Address - Country:US
Practice Address - Phone:713-252-3230
Practice Address - Fax:713-500-6882
Is Sole Proprietor?:No
Enumeration Date:2012-02-07
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ7081208M00000X
TX590436207R00000X
NMMD2015-0887207R00000X
ALMD.41789207R00000X
KS04-40617207R00000X
OK35398207R00000X
MO2015044738207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist