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Organization

GLENN R MILLER DPM

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GLENN ROBIN MILLER DPM (PODIATRIST/OWNER)
(361) 814-4055
Entity
Organization

Contact information

Practice address
7101 S STAPLES ST, SUITE 103, CORPUS CHRISTI, TX 78413-5542
(361) 814-4055
(361) 814-1346
Mailing address
7101 S STAPLES ST, SUITE 103, CORPUS CHRISTI, TX 78413-5542
(361) 814-4055
(361) 814-1346

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1441
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
030428901
TX
Enumeration date
03/13/2008
Last updated
11/22/2010
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