Miller, Shane Michael

Miller, Shane Michael is an individual health care provider with primary practice located at 5700 Dallas Pkwy , Frisco TX 75034-9580. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Miller, Shane Michael can be contacted via phone (469) 515-7100.

Contact Information

Primary practice address
5700 Dallas Pkwy Frisco TX 75034-9580
Phone: (469) 515-7100
Fax: (214) 443-7309
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2080S0010X 46860 Colorado
Allopathic & Osteopathic Physicians / Sports Medicine 2080S0010X N2663 Texas

Profile Details

NPI number 1487829719
LBN Legal business name Miller, Shane Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2008
Last updated Feb 1st, 2019 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1487829719 NPPES
Texas MEDICAID 209257901

Popular Providers