Organization
ALLERGY AND ASTHMA CLINIC OF CENTRAL TEXAS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN MILLER D.O. (OWNER/PRESIDENT)
(512) 388-1861
Entity
Organization
Contact information
Practice address
2000 N MAYS ST STE 109, ROUND ROCK, TX 78664-2166
(254) 690-2800
(254) 690-5401
Mailing address
PO BOX 268945, OKLAHOMA CITY, OK 73126-8945
(512) 388-1861
(512) 388-0373
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
F4284
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1960571-01
—
TX
05
—
1960577-01
—
TX
05
—
1996407-01
—
TX
Enumeration date
09/14/2006
Last updated
03/17/2016
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