Miklius, Audrey Bettina
Miklius, Audrey Bettina is an individual health care provider with primary practice located at 10260 N Central Expy Ste 100N , Dallas TX 75231-3437. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Miklius, Audrey Bettina can be contacted via phone (214) 363-5535.Contact Information
Primary practice address
10260 N Central Expy Ste 100N
Dallas TX 75231-3437
Phone: (214) 363-5535
Fax: (214) 368-2760
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | K1877 | Texas |
Profile Details
| NPI number | 1689628257 |
|---|---|
| LBN Legal business name | Miklius, Audrey Bettina |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 2006 |
| Last updated | Sep 23rd, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689628257 | NPPES |
| Texas | Other | 84680J | BCBS |
| Texas | Other | 4415210 | BCBS |
| Texas | MEDICAID | PO84680J | BCBS |
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