Individual
ELIZABETH HAVEY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12221 N MOPAC EXPY, AUSTIN, TX 78758-2401
(512) 901-4004
(512) 901-3904
Mailing address
12221 N MOPAC EXPY, AUSTIN, TX 78758-2401
(512) 901-4004
(512) 901-3904
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
N5717
TX
207R00000X
Internal Medicine Physician
125050959
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
215526901
—
TX
01
—
P00882184
RRMCR
—
Enumeration date
05/07/2007
Last updated
02/04/2022
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