| Miles Of Chiropractic Clinic Llc | |
|
2450 S Shore Blvd, Ste 200, League City, TX 77573-2994 | |
| (281) 538-2062 | |
| (281) 538-6309 |
| Full Name | Miles Of Chiropractic Clinic Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 2450 S Shore Blvd, League City, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093737926 | NPI | - | NPPES |
| 0027NE | Other | TX | BLUE CROSS BLUE SHIELD |
| 7127260 | Other | TX | AETNA INSURANCE |
| DC8718 | Other | TX | WORKERS COMP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 8718 (Texas) | Primary |
| Provider Name | Jamie L Miles |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1841213816 PECOS PAC ID: 9931160074 Enrollment ID: I20041022000271 |
| Mailing Address | Practice Location Address |
|---|---|
| Miles Of Chiropractic Clinic Llc 2450 S Shore Blvd, Ste 200, League City, TX 77573-2996 Ph: (281) 538-2062 | Miles Of Chiropractic Clinic Llc 2450 S Shore Blvd, Ste 200, League City, TX 77573-2994 Ph: (281) 538-2062 |
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