Individual
JOHN DAVID MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1615 HOSPITAL PARKWAY, SUITE 306, BEDFORD, TX 76022
(817) 684-5106
(817) 684-5120
Mailing address
1615 HOSPITAL PARKWAY, SUITE 306, BEDFORD, TX 76022
(817) 684-5106
(817) 684-5120
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
D7189
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084655201
—
TX
Enumeration date
12/13/2006
Last updated
02/14/2014
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