Individual
DR. MICHAEL MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
360 WESTBURY LN, GEORGETOWN, TX 78628-4374
(512) 508-3189
Mailing address
360 WESTBURY LN, GEORGETOWN, TX 78628-4374
(512) 508-3189
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
L5054
TX
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
G85817
CA
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
L5054
TX
Other
Enumeration date
05/11/2006
Last updated
02/14/2020
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