Individual
MR. BRYAN MICHAEL MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, MS, BSN
Contact information
Practice address
2509 KENNEDY CIR BLDG 125, SAN ANTONIO, TX 78235-5116
(210) 704-3905
Mailing address
2509 KENNEDY CIR BLDG 125, SAN ANTONIO, TX 78235-5116
(361) 229-3483
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
B1210229
TX
163W00000X
Registered Nurse
Primary
864435
TX
1710I1002X
Independent Duty Corpsman
—
—
246ZS0410X
Surgical Technologist
—
—
Other
Enumeration date
05/08/2006
Last updated
05/09/2020
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