Individual
LANE R MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1721 BIRMINGHAM RD, COLLEGE STATION, TX 77845-4082
(979) 764-1474
(979) 764-9249
Mailing address
1721 BIRMINGHAM DR, COLLEGE STATION, TX 77845-4082
(979) 764-1474
(979) 764-9249
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L1673
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105790303
—
TX
01
—
8AJ115
BLUE CROSS
TX
Enumeration date
06/05/2006
Last updated
07/30/2025
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