MEDICARE: CHARLES F MILLER MD

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	207W00000X	Ophthalmology Physician	H0086	TX

Other Identifiers

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

General Provider Information

NPI Number	:	1902819410
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLES F MILLER MD

Provider Business Mailing Address
First Line	:	8222 MARBACH RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78227-1618
Country	:	US
Telephone Number	:	210-675-2301
Fax Number	:	210-675-0900

Provider Business Practice Location Address
First Line	:	8222 MARBACH RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78227-1618
Country	:	US
Telephone Number	:	210-675-2301
Fax Number	:	210-675-0900

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

Provider Enumeration Date	:	08/14/2006
Last Update Date	:	10/24/2008

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