Individual
DR. GARY E MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
17115 RED OAK DR, SUITE 119, HOUSTON, TX 77090-2607
(281) 440-6899
(281) 587-1164
Mailing address
17115 RED OAK DR, SUITE 119, HOUSTON, TX 77090-2607
(281) 440-6899
(281) 587-1164
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
C8378
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
098224101
—
TX
01
—
10006240
AMERIGROUP
TX
01
—
4498903
AETNA
TX
01
—
53626
CIGNA
TX
01
—
OOFO1U
BLUE CROSS/BLUE SHIELD
TX
Enumeration date
07/19/2006
Last updated
01/27/2014
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