MEDICARE: DR. JAMES E MILLER DPM

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	213ES0103X	Foot & Ankle Surgery Podiatrist	0610	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8A4612	OTHER	TX	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316938590
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES E MILLER DPM

Provider Business Mailing Address
First Line	:	5825 CALLAGHAN RD STE 102
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78228-1106
Country	:	US
Telephone Number	:	210-227-8700
Fax Number	:	210-348-9130

Provider Business Practice Location Address
First Line	:	3303 S WW WHITE RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78222-4829
Country	:	US
Telephone Number	:	210-650-0314
Fax Number	:	210-654-1783

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

Provider Enumeration Date	:	11/04/2005
Last Update Date	:	03/30/2018

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