Individual
WILLIAM THAD MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4801 ALBERTA AVE., EL PASO, TX 79905
(915) 545-7507
(915) 545-9799
Mailing address
PO BOX 9520, EL PASO, TX 79995-9520
(915) 545-9795
(915) 545-9799
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
D3341
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
89C093
BCBS OF TEXAS
TX
Enumeration date
09/22/2006
Last updated
07/08/2007
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