Organization
JASON MILLER DPM PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAREN MICHAEL GUERTIN DPM (DOCTOR)
(281) 348-2166
Entity
Organization
Contact information
Practice address
350 KINGWOOD MEDICAL DR, SUITE 150, KINGWOOD, TX 77339-6405
(281) 348-2166
(281) 358-2153
Mailing address
350 KINGWOOD MEDICAL DR, SUITE 150, KINGWOOD, TX 77339-6405
(281) 348-2166
(281) 358-2153
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1780
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1639368970
GROUP NPI
TX
05
—
177385501
—
TX
05
—
183615702
—
TX
Enumeration date
01/02/2008
Last updated
04/16/2013
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