Individual
TIM MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
472 E LOOP 281, LONGVIEW, TX 75605
(903) 236-0090
(903) 236-0095
Mailing address
472 E LOOP 281, LONGVIEW, TX 75605-7939
(903) 236-0090
(903) 236-0095
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
06/29/2017
Last updated
07/21/2022
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