Individual
CLARISA G MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
903 W MARTIN ST, SAN ANTONIO, TX 78207-0903
(210) 358-3582
(210) 358-3252
Mailing address
903 W MARTIN ST, SAN ANTONIO, TX 78207-0903
(210) 358-3582
(210) 358-3252
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP132024
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
364067401
—
TX
01
—
364067402
CSHCN
TX
Enumeration date
10/10/2016
Last updated
10/02/2024
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