Individual
CATHERINE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
2911 TEXAS AVE S STE 202, COLLEGE STATION, TX 77845-5388
(979) 695-3570
Mailing address
2911 TEXAS AVE S STE 202, COLLEGE STATION, TX 77845-5388
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA15290
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA15290
TEXAS MEDICAL BOARD
TX
Enumeration date
12/27/2021
Last updated
06/21/2023
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