Individual
GREGORY JAMES MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, MPAS
Contact information
Practice address
9330 CORPORATE DRIVE OLYMPIA II BUSINESS, SUITE #804, SELMA, TX 78154-1258
(830) 572-5738
(210) 756-6189
Mailing address
9330 CORPORATE DRIVE OLYMPIA II BUSINESS, SUITE #804, SELMA, TX 78154-1258
(830) 572-5738
(210) 756-6189
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
—
TX
363A00000X
Physician Assistant
PA1055
CO
363AM0700X
Medical Physician Assistant
Primary
PA02238
TX
363AM0700X
Medical Physician Assistant
PA1055
CO
363AS0400X
Surgical Physician Assistant
PA02238
TX
363AS0400X
Surgical Physician Assistant
PA10005152
WA
Other
Enumeration date
08/12/2006
Last updated
08/04/2023
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