Individual
JAMES P MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 COOPER ST, FORT WORTH, TX 76104-2710
(682) 885-7080
(682) 885-7085
Mailing address
PO BOX 99371, FORT WORTH, TX 76199-0371
(682) 885-1855
(682) 885-7437
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
H5007
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117648905
—
TX
05
—
117648906
—
TX
05
—
137345810
—
TX
05
—
140442852
—
TX
01
—
1750369203
NPI GROUP NUMBER
—
01
—
8A5664
BCBSTX PIN
TX
Enumeration date
11/09/2005
Last updated
04/02/2012
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