| Dr Christopher Edward Miller, DO | |
|
757 E Us Highway 80 Ste 200, Forney, TX 75126-8741 | |
| (972) 646-3346 | |
| (972) 564-2079 |
| Full Name | Dr Christopher Edward Miller |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 757 E Us Highway 80 Ste 200, Forney, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083975452 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | Q2344 (Texas) | Primary |
| Entity Name | Pediatric Clinic, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821085721 PECOS PAC ID: 4880747534 Enrollment ID: O20090729000146 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Christopher Edward Miller, DO 2061 Avondown Rd, Forney, TX 75126-0927 Ph: () - | Dr Christopher Edward Miller, DO 757 E Us Highway 80 Ste 200, Forney, TX 75126-8741 Ph: (972) 646-3346 |
Ms. Barbara Ann Walker, RN Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5321 Canfield Ln, Forney, TX 75126 Phone: 972-515-0508 | |
Mrs. Mona Ambika Bagrodia, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 757 E Us Highway 80 Ste 200, Forney, TX 75126 Phone: 972-646-3346 | |
Anita R. Shah, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 101 N Fm 548, Suite 100, Forney, TX 75126 Phone: 972-646-3346 Fax: 972-564-2079 | |
Lauren Michelle Eddington, CPNP-PC Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 571 Fm 548 Ste 120, Forney, TX 75126 Phone: 469-728-7999 Fax: 214-286-6212 |