Individual
DR. TYRONE J MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1040 S FLEISHEL AVE STE 1, TYLER, TX 75701-2031
(903) 533-8702
(903) 533-8720
Mailing address
1040 S FLEISHEL AVE STE 1, TYLER, TX 75701-2031
(903) 533-8702
(903) 533-8720
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
5101016911
MI
208600000X
Surgery Physician
Primary
P5423
TX
2086S0129X
Vascular Surgery Physician
P5423
TX
Other
Enumeration date
05/07/2007
Last updated
02/28/2018
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