MILLER PEDIATRICS, P.A.
Ambulatory Health at Frey St, Stephenville, TX

License number
Texas K6487
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: DR. KELLY ANN MILLER D.O.
Title: PHYSICIAN
Phone: (254) 918-2484
Address
Address
103 E Frey St, Stephenville, TX 76401
National Provider ID: 1699891424
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MILLER PEDIATRICS, PA

Stephenville, TX

Industry:
Medical Doctor's Office
Registration:
Feb 12, 2007
Addresses:
PO Box 1457, Stephenville, TX 76401 (Mailing)
103 E Frey St, Stephenville, TX 76401
State ID:
0800772818
Business type:
Professional Association
President, Director, Member, Secretary:
Kelly Miller (President, Director, Member, Secretary)
Agent:
Thaddeus Leonard Miller,205 E Frey St STE 101, Stephenville, TX 76401 (Physical)
TIN:
32035057861

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