Provider Demographics
NPI:1841512340
Name:KILROY, MILES (MD)
Entity type:Individual
Prefix:DR
First Name:MILES
Middle Name:
Last Name:KILROY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 WEST LOOP S
Mailing Address - Street 2:#150
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-3515
Mailing Address - Country:US
Mailing Address - Phone:713-590-2700
Mailing Address - Fax:713-590-2702
Practice Address - Street 1:2100 WEST LOOP S
Practice Address - Street 2:#150
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-3515
Practice Address - Country:US
Practice Address - Phone:713-590-2700
Practice Address - Fax:713-590-2702
Is Sole Proprietor?:No
Enumeration Date:2010-02-24
Last Update Date:2013-08-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXP74832081N0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081N0008XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationNeuromuscular Medicine