Individual
BRANDON JAMES MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-1768
Mailing address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-1768
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
N1772
TX
2084P0800X
Psychiatry Physician
Primary
N1772
TX
390200000X
Student in an Organized Health Care Education/Training Program
N1772
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202713801
—
TX
Enumeration date
09/19/2007
Last updated
07/30/2013
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