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Individual

DR. BRIAN J MILES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6560 FANNIN ST, SUITE 2100, HOUSTON, TX 77030-2761
(713) 441-8111
Mailing address
6560 FANNIN ST, SUITE 2100, HOUSTON, TX 77030-2761
(713) 441-8111

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
J5837
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
124512802
TX
01
1780774752
BLUE CROSS BLUE SHIELD
TX
01
8CE330
BLUE CROSS BLUE SHIELD
TX
01
8DY961
BLUE CROSS BLUE SHIELD
TX
01
8F8177
MEDICARE PTAN
TX
01
P01055710
RR MEDICARE
TX
Enumeration date
10/13/2006
Last updated
03/21/2016
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