Individual
DR. TESA TARYN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3950 N A W GRIMES BLVD, BUILDING 2, ROUND ROCK, TX 78665-3540
(877) 800-5722
Mailing address
205 E UNIVERSITY AVE, SUITE 200, GEORGETOWN, TX 78626-6814
(512) 868-1124
(512) 868-9894
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
BP1-0023298
TX
207V00000X
Obstetrics & Gynecology Physician
Primary
N2664
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2053702-01
—
TX
01
—
2760534976
MYUTMB 2760534976-COMMERCIAL NUMBER
—
Enumeration date
06/14/2007
Last updated
03/21/2011
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