Individual
MR. MAVERICK MATTHEW MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN
Contact information
Practice address
6200 W PARKER RD, PLANO, TX 75093-8185
(972) 981-8000
Mailing address
3521 WILSHIRE WAY APT 1112, RICHARDSON, TX 75082-0073
(720) 252-6643
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1034114
TX
Other
Enumeration date
08/03/2021
Last updated
08/03/2021
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