Provider Demographics
NPI:1063701639
Name:MILES, MAJORIE (BHCM)
Entity type:Individual
Prefix:
First Name:MAJORIE
Middle Name:
Last Name:MILES
Suffix:
Gender:F
Credentials:BHCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1141 N ROBINSON AVE
Mailing Address - Street 2:SUITE 101B
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73103-4929
Mailing Address - Country:US
Mailing Address - Phone:405-885-6277
Mailing Address - Fax:405-528-4673
Practice Address - Street 1:1141 N ROBINSON AVE
Practice Address - Street 2:SUITE 101B
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73103-4929
Practice Address - Country:US
Practice Address - Phone:405-885-6277
Practice Address - Fax:405-528-4673
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-04
Last Update Date:2014-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator