| Kelly Miller, DO | |
|
103 E Frey St Ste 101, Stephenville, TX 76401-2603 | |
| (254) 918-2484 | |
| (254) 965-3294 |
| Full Name | Kelly Miller |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 103 E Frey St Ste 101, Stephenville, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285783696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | K6487 (Texas) | Primary |
| Entity Name | Cook Childrens Physician Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750369203 PECOS PAC ID: 7719884584 Enrollment ID: O20040128000800 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Miller, DO Po Box 733784, Dallas, TX 75373-3784 Ph: (682) 885-1855 | Kelly Miller, DO 103 E Frey St Ste 101, Stephenville, TX 76401-2603 Ph: (254) 918-2484 |
Dr. Haley Starkey Banks, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 150 River North Blvd, Stephenville, TX 76401 Phone: 254-968-6051 Fax: 254-968-4204 | |
Dr. Helen Ong, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 150 River North Blvd, Stephenville, TX 76401 Phone: 254-968-6051 Fax: 254-968-4204 | |
Nadine Terrazas Rose, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 205 E Frey St Unit 101, Stephenville, TX 76401 Phone: 254-918-2484 Fax: 254-965-3294 |