MEDICARE: DR. THOMAS JOSEPH MILLER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	G4655	TX

General Provider Information

NPI Number	:	1003819798
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS JOSEPH MILLER M.D.

Provider Business Mailing Address
First Line	:	3600 MATLOCK RD STE 102
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76015-3679
Country	:	US
Telephone Number	:	817-467-9096
Fax Number	:	817-472-9338

Provider Business Practice Location Address
First Line	:	3600 MATLOCK RD STE 102
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76015-3679
Country	:	US
Telephone Number	:	817-467-9096
Fax Number	:	817-472-9338

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	07/19/2023

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