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Individual
GRADY F MILLER
Active
Individual
GRADY F MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K9130
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045399503
—
TX
05
—
045399504
—
TX
01
—
130875101
FIRSTCARE
TX
01
—
82348
SCOTT & WHITE
TX
01
—
8F9832
BCBS
TX
Enumeration date
11/18/2005
Last updated
01/25/2022
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