Provider Demographics
NPI:1578757563
Name:MILLER, LISA ANNE (MD)
Entity type:Individual
Prefix:DR
First Name:LISA
Middle Name:ANNE
Last Name:MILLER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:5959 WEST LOOP S STE 420
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-2137
Mailing Address - Country:US
Mailing Address - Phone:713-927-9365
Mailing Address - Fax:877-461-0812
Practice Address - Street 1:5959 WEST LOOP S STE 420
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-2137
Practice Address - Country:US
Practice Address - Phone:713-927-9365
Practice Address - Fax:877-461-0812
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-01
Last Update Date:2024-12-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXJ01302084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry