Individual
DR. GEORGE RUFUS MINER, IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-0462
(409) 772-4194
Mailing address
2314 16TH ST, LUBBOCK, TX 79401-4433
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
BP1-0029678
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4661837305
MYUTMB 4661837305
—
Enumeration date
08/05/2007
Last updated
08/05/2007
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