# BRAD MILLER DO PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194957530
- **Authorized official:** MARVIN BRADLEY MILLER DO (OWNER)
- **Authorized official phone:** (817) 596-0109

## Contact information

- **Practice address:** 945 HILLTOP DR, STE 101, WEATHERFORD, TX 76086-5891
- **Practice address phone:** (817) 596-0109
- **Practice address fax:** (817) 594-3777
- **Mailing address:** 945 HILLTOP DR, STE 101, WEATHERFORD, TX 76086-5891
- **Mailing address phone:** (817) 596-0109
- **Mailing address fax:** (817) 594-3777

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/19/2009
- **Last updated:** 08/25/2010
