Individual
MR. BOBBY JOE MILLER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4600 TAFT BLVD, WICHITA FALLS, TX 76308-4935
(940) 691-1710
(940) 691-2193
Mailing address
184 COUNTY ROAD 3133, DECATUR, TX 76234-4609
(940) 399-8904
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1146058
TX
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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