Individual
MARVIN BRADLEY MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
945 HILLTOP DR, SUITE 101, WEATHERFORD, TX 76086-5891
(817) 596-0109
(817) 594-3777
Mailing address
945 HILLTOP DR, SUITE 101, WEATHERFORD, TX 76086-5891
(817) 596-0109
(817) 594-3777
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G6449
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031748901
—
TX
Enumeration date
12/05/2005
Last updated
01/19/2010
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