Mid-Cities Dermatology Clinic

LBN: John David Miller, M.D.P.A.
Mid-Cities Dermatology Clinic is an health care organization with primary practice located at 1615 Hospital Pkwy Suite 306, Bedford TX 76022-5934. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. John David Miller, M.D.P.A. can be contacted via phone (817) 684-5106, or through Miller, John David via phone (817) 684-5106.

Contact Information

Primary practice address
1615 Hospital Pkwy Suite 306 Bedford TX 76022-5934
Phone: (817) 684-5106
Fax: (817) 684-5120
Website:
Map and Directions
Authorized official contact:
Name: Miller, John David Doctor of Medicine (MD)
Phone: (817) 684-5106

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X D7189 Texas

Profile Details

NPI number 1467581439
LBN Legal business name John David Miller, M.D.P.A.
DBA Doing business as Mid-Cities Dermatology Clinic
Authorized official Miller, John David Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 5th, 2007
Last updated Dec 28th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467581439 NPPES
Texas MEDICAID 0846552-01

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