Individual
JERRY WADE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
133 MCKINNEY ST STE 202, FARMERSVILLE, TX 75442-2221
(903) 441-2225
Mailing address
PO BOX 84, FARMERSVILLE, TX 75442-0084
(903) 441-2225
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/08/2010
Last updated
04/08/2010
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