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Organization

JERRY W. MILLER, M.D., P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JERRY WINKLER MILLER M.D. (PRESIDENT)
(915) 225-0410
Entity
Organization

Contact information

Practice address
1330 E. YANDELL DRIVE, EL PASO, TX 79902-5529
(915) 225-0410
(915) 225-0419
Mailing address
1330 E YANDELL DR, EL PASO, TX 79902-5529
(915) 225-0410
(915) 225-0419

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
H1626
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
205129401
TX
Enumeration date
11/05/2008
Last updated
08/18/2015
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