Organization
BRET H MILLER MD PA ORTHOPAEDIC AND SPORTS MEDICINE SPECIALISTS OF WAC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW B SZANTO (MEDICAL PRACTICE ADMINISTRATOR)
(254) 772-8677
Entity
Organization
Contact information
Practice address
300 RICHLAND WEST CIR, SUITE 1, WACO, TX 76712-7934
(254) 772-8677
(254) 752-1511
Mailing address
PO BOX 21506, WACO, TX 76702-1506
(254) 772-8677
(254) 752-1511
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
H2608
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0062EM
BLUE CROSS BLUE SHIELD
TX
05
—
0812653-01
—
TX
Enumeration date
07/30/2006
Last updated
06/26/2008
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