Organization
S RICK MILLER D P M PROFESSIONAL CORPORATION
Active
Other names
ADVANCED FOOT AND ANKLE CTR /N. TX
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN RICK MILLER D.P.M. (OWNER/PHYSICIAN)
(972) 242-0660
Entity
Organization
Contact information
Practice address
2150 N JOSEY LN, #202, CARROLLTON, TX 75006-2991
(972) 242-0660
(972) 242-7596
Mailing address
1300 GODWARD ST NE, STE 4100, MINNEAPOLIS, MN 55413-1741
(972) 242-0660
(972) 242-7596
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0562
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0927527-02
—
TX
01
—
1124299672
NPI
TX
Enumeration date
03/12/2008
Last updated
04/01/2011
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