Provider Demographics
NPI:1578190203
Name:MILLER, MAR Y SOL CONTRERAS (BS, IBCLC)
Entity Type:Individual
Prefix:
First Name:MAR Y SOL
Middle Name:CONTRERAS
Last Name:MILLER
Suffix:
Gender:F
Credentials:BS, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18409 DRECKER SPRINGS LN
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-5798
Mailing Address - Country:US
Mailing Address - Phone:512-670-8386
Mailing Address - Fax:512-686-4604
Practice Address - Street 1:18409 DRECKER SPRINGS LN
Practice Address - Street 2:
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-5798
Practice Address - Country:US
Practice Address - Phone:512-670-8386
Practice Address - Fax:512-686-4604
Is Sole Proprietor?:No
Enumeration Date:2020-03-24
Last Update Date:2021-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN