Organization
BRAD MILLER DO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARVIN BRADLEY MILLER DO (OWNER)
(817) 596-0109
Entity
Organization
Contact information
Practice address
945 HILLTOP DR, STE 101, WEATHERFORD, TX 76086-5891
(817) 596-0109
(817) 594-3777
Mailing address
945 HILLTOP DR, STE 101, WEATHERFORD, TX 76086-5891
(817) 596-0109
(817) 594-3777
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031748901
—
TX
Enumeration date
08/19/2009
Last updated
08/25/2010
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