Individual
BROCK EDWIN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SLP
Contact information
Practice address
15820 ADDISON RD, ADDISON, TX 75001-3549
(866) 919-3240
Mailing address
1047 COUNTY ROAD 254, STEPHENVILLE, TX 76401-7574
(254) 979-2341
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
112050
TX
Other
Enumeration date
03/06/2018
Last updated
03/06/2018
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