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Individual

DR. KYLE SCOTT MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
4900 MUELLER BLVD, AUSTIN, TX 78723-3079
(512) 324-0000
Mailing address
4900 MUELLER BLVD, AUSTIN, TX 78723-3079

Taxonomy

Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
Q4638
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
347847103
TX
01
Q4638
TEXAS MEDICAL LICENSE
TX
Enumeration date
09/12/2011
Last updated
11/25/2019
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