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Individual

BETHANY MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1400 8TH AVE, FORT WORTH, TX 76104-4110
(817) 926-2544
Mailing address
5204 N HIGHLAND DR, GRANBURY, TX 76049-2958

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
1226629
TX
207L00000X
Anesthesiology Physician
Primary
944354
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
1226629
TX

Other

Enumeration date
12/08/2025
Last updated
04/23/2026
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