Individual
DR. WILLIAM W MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1720 S BECKHAM AVE STE 104, TYLER, TX 75701-4464
(903) 593-1721
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6450
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
D8355
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132078002
—
TX
05
—
132078008
—
TX
01
—
75-2616977-136
TRICARE
TX
01
—
752616977007
TRICARE
TX
Enumeration date
02/16/2006
Last updated
07/21/2022
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