Individual
MICHAEL J MILLER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
826 MAGNOLIA DR, WEATHERFORD, TX 76086-6149
(817) 781-8736
Mailing address
1010 E WHEATLAND RD, SUITE A, DUNCANVILLE, TX 75116-4914
(972) 283-0063
(972) 283-0284
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
541018
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002375602
—
TX
Enumeration date
12/08/2005
Last updated
09/03/2025
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