1831002039 NPI number — DR. LOUISE DE SOUZA MILLER PHARMD

Table of content: DR. LOUISE DE SOUZA MILLER PHARMD (NPI 1831002039)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831002039 NPI number — DR. LOUISE DE SOUZA MILLER PHARMD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MILLER
Provider First Name:
LOUISE
Provider Middle Name:
DE SOUZA
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PHARMD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
DE SOUZA
Provider Other First Name:
LOUISE
Provider Other Middle Name:
DEBAS
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
PHARMD
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1831002039
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/28/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
131 CONEFLOWER DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WYLIE
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75098-1009
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
214-645-5505
Provider Business Mailing Address Fax Number:
214-645-5688

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5939 HARRY HINES BLVD
Provider Second Line Business Practice Location Address:
6TH FLOOR SUITE 600
Provider Business Practice Location Address City Name:
DALLAS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75390-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
214-645-5505
Provider Business Practice Location Address Fax Number:
214-645-5688
Provider Enumeration Date:
09/28/2026

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1835P2201X , with the licence number:  60883 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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