Individual
LARRY J MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
722 ISOM RD, SAN ANTONIO, TX 78216
(210) 375-8500
(210) 375-8537
Mailing address
722 ISOM RD, SAN ANTONIO, TX 78216
(210) 375-8500
(210) 375-8537
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
E0558
TX
Other
Enumeration date
05/09/2008
Last updated
05/09/2008
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