Individual
DR. ADAM SETH MINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1120 W CAMPBELL RD, STE 111, RICHARDSON, TX 75080-2976
(972) 234-6868
(972) 238-1235
Mailing address
PO BOX 796534, DALLAS, TX 75379-6534
(972) 234-6868
(972) 238-1235
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J2689
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115333001
—
TX
01
—
2967769003
CIGNA
TX
01
—
612487
AETNA
TX
01
—
86690G
BLLUE CROSS/ BLUE SHIELD
TX
Enumeration date
06/01/2005
Last updated
06/11/2009
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