Individual
DR. G. DICK MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.10/24/19
Contact information
Practice address
4001 W AIRPORT FWY, SUITE 185, BEDFORD, TX 76021
(817) 283-8484
(817) 283-8286
Mailing address
4001 W AIRPORT FWY, SUITE 185, BEDFORD, TX 76021
(817) 283-8484
(817) 283-8286
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2-1081
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
JC76
BC/BS PROVIDER NUMBER
TX
Enumeration date
11/10/2005
Last updated
01/13/2009
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