Individual
LINDA L MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN, CST
Contact information
Practice address
1400 8TH AVE, FORT WORTH, TX 76104-4110
(847) 926-2544
Mailing address
PO BOX 2626, FORT WORTH, TX 76113-2626
(817) 294-7444
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
25876
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0098KJ
BCBS
TX
Enumeration date
08/29/2006
Last updated
05/01/2008
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