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NPI Code Detail

MEDICARE: JANICE A MILLER M.D.

MEDICARE:   JANICE A 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
1207Q00000XFamily Medicine PhysicianJ9213TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20081QROTHERTXBCBS

General Provider Information

NPI Number : 1518988195
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANICE A MILLER M.D.
Provider Business Mailing Address
First Line : 220 N RIDGEWAY DR
Second Line :
City : CLEBURNE
State : TX
Zip : 76033-4115
Country : US
Telephone Number : 817-774-5008
Fax Number : 817-774-5034
Provider Business Practice Location Address
First Line : 3517 S W WILSHIRE BLVD
Second Line :
City : JOSHUA
State : TX
Zip : 76058-9659
Country : US
Telephone Number : 817-447-1151
Fax Number : 817-529-8927
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2006
Last Update Date : 03/09/2017

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Directions to “ JANICE A MILLER M.D.” Practice Location

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