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NPI Code Detail

MEDICARE: MORGAN MILLER M.D.

MEDICARE: MORGAN 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 Physician26352MS
2390200000XStudent in an Organized Health Care Education/Training Program
3207Q00000XFamily Medicine PhysicianU0922TX

Other Identifiers

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

General Provider Information

NPI Number : 1992156855
Entity Type Code : Individual
Provider Name (Legal Business Name) : MORGAN MILLER M.D.
Provider Business Mailing Address
First Line : PO BOX 321359
Second Line :
City : FLOWOOD
State : MS
Zip : 39232-1359
Country : US
Telephone Number : 601-933-6593
Fax Number : 601-933-6596
Provider Business Practice Location Address
First Line : 1515 S BUCKNER BLVD STE 141
Second Line :
City : DALLAS
State : TX
Zip : 75217-1794
Country : US
Telephone Number : 214-305-7065
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2016
Last Update Date : 03/24/2023

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