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Individual
SHAWN RUSSELL MILLER
Active
Individual
SHAWN RUSSELL MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
617608
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP113809
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171072501
—
TX
Enumeration date
07/11/2005
Last updated
03/06/2026
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