Individual
SHANE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1714 FORTVIEW RD STE 106E, AUSTIN, TX 78704-7659
(210) 850-7592
Mailing address
1714 FORTVIEW RD STE 106E, AUSTIN, TX 78704-7659
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
08/31/2017
Last updated
09/13/2017
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