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Individual
MARCUS LANE MILLER
Active
Individual
MARCUS LANE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
XXXXXX
TX
363A00000X
Physician Assistant
Primary
PA11382
TX
Other
Enumeration date
06/15/2017
Last updated
01/25/2022
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