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Individual
DR. BRIAN J MILES
Active
Individual
DR. BRIAN J MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
J5837
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124512802
—
TX
01
—
1780774752
BLUE CROSS BLUE SHIELD
TX
01
—
8CE330
BLUE CROSS BLUE SHIELD
TX
01
—
8DY961
BLUE CROSS BLUE SHIELD
TX
01
—
8F8177
MEDICARE PTAN
TX
01
—
P01055710
RR MEDICARE
TX
Enumeration date
10/13/2006
Last updated
03/21/2016
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