Healthcare Provider Details

I. General information

NPI: 1437149648
Provider Name (Legal Business Name): GEA M MILLER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/27/2005
Last Update Date: 07/13/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BROOKE ARMY MEDICAL CENTER, ATTN: MCHE-QD 3851 ROGER BROOKE DRIVE
FORT SAM HOUSTON TX
78234-6200
US

IV. Provider business mailing address

BROOKE ARMY MEDICAL CENTER, ATTN: MCHE-QD 3851 ROGER BROOKE DRIVE
FORT SAM HOUSTON TX
78234-6200
US

V. Phone/Fax

Practice location:
  • Phone: 210-916-0335
  • Fax: 210-916-1740
Mailing address:
  • Phone: 210-916-0335
  • Fax: 210-916-1740

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License NumberE8726
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: