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Organization
SOUTHEAST TEXAS HEART AND LUNG SURGEONS, LLP
Active
Organization
SOUTHEAST TEXAS HEART AND LUNG SURGEONS, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OTTO LAWAYNE MILLER JR. M.D. (PARTNER-PHYSICIAN)
(409) 722-4001
Entity
Organization
Contact information
Practice address
2501 JIMMY JOHNSON BLVD., SUITE 201, PORT ARTHUR, TX 77640-2900
(409) 722-4001
(409) 722-4013
Mailing address
2501 JIMMY JOHNSON BLVD., SUITE 201, PORT ARTHUR, TX 77640-2900
(409) 722-4001
(409) 722-4013
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
F4287
TX
Other
Enumeration date
06/25/2006
Last updated
08/22/2020
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