Organization
LANE R MILLER MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LANE R MILLER MD (OWNER)
(979) 764-1474
Entity
Organization
Contact information
Practice address
1721 BIRMINGHAM RD, COLLEGE STATION, TX 77845-4082
(979) 764-1474
(979) 764-9249
Mailing address
1721 BIRMINGHAM DR, COLLEGE STATION, TX 77845
(979) 764-1474
(979) 764-9249
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
L1673
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0092PW
BLUE CROSS
TX
01
—
145759100
FIRST CARE
TX
05
—
175488901
—
TX
01
—
P00234819
RAILROAD MEDICARE
TX
Enumeration date
07/08/2006
Last updated
07/30/2025
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