Individual
TRAVIS WAYNE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17614 GARNERCREST DR, HOUSTON, TX 77095-1111
(210) 260-2825
Mailing address
17614 GARNERCREST DR, HOUSTON, TX 77095-1111
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
340991
TX
Other
Enumeration date
06/04/2018
Last updated
06/04/2018
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