Individual
JOHN K. MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3560 DELAWARE ST, 209, BEAUMONT, TX 77706-3059
(409) 899-3682
Mailing address
3560 DELAWARE ST, 209, BEAUMONT, TX 77706-3059
(409) 899-3682
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
J0777
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124863503
—
TX
Enumeration date
06/14/2005
Last updated
10/03/2019
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