Individual
JERRY W. MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1330 E. YANDELL DRIVE, EL PASO, TX 79902-5529
(915) 225-0410
(915) 225-0419
Mailing address
1330 E YANDELL DR, EL PASO, TX 79902-5529
(915) 225-0410
(915) 225-0419
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
H1626
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118883101
—
TX
Enumeration date
06/06/2006
Last updated
08/18/2015
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