Provider Demographics
NPI:1760524375
Name:MILLER, FRANK
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:
Last Name:MILLER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 JENNIFER CT
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-3992
Mailing Address - Country:US
Mailing Address - Phone:956-221-2121
Mailing Address - Fax:956-440-1160
Practice Address - Street 1:410 JENNIFER CT
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-3992
Practice Address - Country:US
Practice Address - Phone:956-221-2121
Practice Address - Fax:956-440-1160
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2008-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50648237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX175675101Medicaid