1821253907 NPI number — MILLER-FRANKLIN LIMITED LIABILITY PARTNERSHIP

Table of content: (NPI 1821253907)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1821253907 NPI number — MILLER-FRANKLIN LIMITED LIABILITY PARTNERSHIP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MILLER-FRANKLIN LIMITED LIABILITY PARTNERSHIP
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1821253907
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/13/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5512 TRIBUNE WAY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PLANO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75094-4500
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
972-423-8502
Provider Business Mailing Address Fax Number:
972-423-8533

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
221 W COLORADO BLVD
Provider Second Line Business Practice Location Address:
PAVILLION 2, STE 625
Provider Business Practice Location Address City Name:
DALLAS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75208
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
214-946-5165
Provider Business Practice Location Address Fax Number:
214-946-4876
Provider Enumeration Date:
07/28/2008

Additional Information

Authorized Official

Authorized Official Last Name:
FRANKLIN
Authorized Official First Name:
KATRINA
Authorized Official Middle Name:
L
Authorized Official Title or Position:
MANAGING/STAFFING PARTNER
Authorized Official Telephone Number:
972-679-0810

Provider Taxonomy Codes

  • Taxonomy code: 367500000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 00C63U . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: DT8121 . This is a "RAILROAD MEDICARE PTAN" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 0A3746 . This is a "MEDICARE PTAN" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 472865 . This is a "MEDICARE PTAN - COLLIN CTY" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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