Basic Information
| Provider Information | |||||||||
| NPI: | 1134200819 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MILLER | ||||||||
| FirstName: | CAROL | ||||||||
| MiddleName: | JANINE | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | DC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1912 SHOREWOOD DR | ||||||||
| Address2: | |||||||||
| City: | GRAPEVINE | ||||||||
| State: | TX | ||||||||
| PostalCode: | 760517931 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8172479131 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 4012 SW GREEN OAKS BLVD | ||||||||
| Address2: | |||||||||
| City: | ARLINGTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 760174113 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8175720072 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/18/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 111N00000X | 8522 | TX | Y | Chiropractic Providers | Chiropractor |
No ID Information.