Individual
BRUCE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
6021 FAIRMONT PKWY, STE 130, PASADENA, TX 77505-4022
(281) 991-0600
(281) 991-0638
Mailing address
6021 FAIRMONT PKWY, STE 130, PASADENA, TX 77505-4022
(281) 991-0600
(281) 991-0638
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0648
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0648
LICENSE
TX
01
—
K0036113
DPS
TX
Enumeration date
10/11/2006
Last updated
03/07/2023
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