Provider Demographics
NPI:1821253907
Name:MILLER-FRANKLIN LIMITED LIABILITY PARTNERSHIP
Entity Type:Organization
Organization Name:MILLER-FRANKLIN LIMITED LIABILITY PARTNERSHIP
Other - Org Name:SOVEREIGN ANESTHESIA OF TEXAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING/STAFFING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:KATRINA
Authorized Official - Middle Name:L
Authorized Official - Last Name:FRANKLIN
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:972-679-0810
Mailing Address - Street 1:5512 TRIBUNE WAY
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75094-4500
Mailing Address - Country:US
Mailing Address - Phone:972-423-8502
Mailing Address - Fax:972-423-8533
Practice Address - Street 1:221 W COLORADO BLVD
Practice Address - Street 2:PAVILLION 2, STE 625
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75208
Practice Address - Country:US
Practice Address - Phone:214-946-5165
Practice Address - Fax:214-946-4876
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-28
Last Update Date:2021-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00C63UOtherBLUE CROSS BLUE SHIELD
TXDT8121OtherRAILROAD MEDICARE PTAN
TX0A3746OtherMEDICARE PTAN
TX472865OtherMEDICARE PTAN - COLLIN CTY