Individual
DR. CHARLES ERNEST MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24275 KATY FWY STE 400, KATY, TX 77494
(346) 387-7171
Mailing address
24275 KATY FWY STE 400, KATY, TX 77494-7267
(346) 387-7171
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
G8285
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0012NF
BCBS
TX
05
—
124586206
—
TX
01
—
1881681252
NPI
TX
01
—
P00387032
MEDICARE RAILROAD
TX
01
—
P00784263
MEDICARE RAILROAD
TX
Enumeration date
09/30/2005
Last updated
05/30/2018
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