Individual
DENNIS MILLER II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6731 BRIDGE ST # 213, FORT WORTH, TX 76112-0817
(817) 917-5696
Mailing address
PO BOX 24599, FORT WORTH, TX 76124-1599
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/03/2015
Last updated
06/03/2015
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