Individual
DR. MARK RAYMOND MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3144 HORIZON RD STE 210, ROCKWALL, TX 75032
(972) 771-2222
(972) 771-3350
Mailing address
7610 N STEMMONS FWY STE 600, DALLAS, TX 75247-4228
(214) 689-5960
(469) 713-8084
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
J6172
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102736902
—
TX
01
—
83Y773
BCBSTX
TX
Enumeration date
03/24/2006
Last updated
06/26/2018
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