P Praxis·MD
● Active Type 2 · Organization

Miller Mac Group, Llc

Clinic/Center·Southlake, TX· NPI 1649660168 · Enumerated 2015 · 11 years on NPI
Miller Mac Group, Llc is 1 of 1647 clinic/center organizations in Texas.
NPI age
11 years
Enumerated 2015-02-04
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Sivaraman
Billing Manager
Last NPPES update
2015-02-11
Source: monthly bulk 2026-05

How this organization compares

Across 1647 active clinic/center providers in Texas.

NPI age
11 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2015 → 2026

2015-02Enumerated in NPPES
2015 2026

Where they practice

Primary practice location
300 S Nolen Dr Ste 160
Southlake, TX 760928054
📞 2146185600fax 2146187733
Mailing address
5566 Main St Ste 210
Frisco, TX 750333673
📞 2146185600fax 2146187733

Authorized official

Kim Sivaraman
Billing Manager
📞 2146185600

Specialties

  • Clinic/Center Primary
    Definition to come...
    TX license #130212 taxonomy 261QA1903X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • SOUTHLAKE PAIN AND SURGERY CENTER
    Type code 3 recorded 2015-02-11

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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