Organization
DWAYNE C. MILLER
Active
Other names
Dwayne C. Miller, MD PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DWAYNE C MILLER MD (MD)
(254) 879-4910
Entity
Organization
Contact information
Practice address
10201 HIGHWAY 16, COMANCHE, TX 76442-4462
(325) 356-7051
(325) 356-7051
Mailing address
6610 HWY 2318, COMANCHE, TX 76442-6622
(254) 879-4910
(254) 879-4991
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H0638
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179364801
—
TX
01
—
DE4230
RR MEDICARE
TX
Enumeration date
09/07/2007
Last updated
04/03/2009
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