Individual
SUSIE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
5495 SUMMERHILL RD, TEXARKANA, TX 75503-4608
(903) 792-3006
(903) 792-3044
Mailing address
3308 FM 992 N, DE KALB, TX 75559-6139
(903) 792-3006
(903) 792-3044
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
778719
TX
Other
Enumeration date
07/15/2014
Last updated
07/15/2014
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