MEDICARE: DR. HARRY SHAWN 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
1	207P00000X	Emergency Medicine Physician	K3616	TX
2	207Q00000X	Family Medicine Physician	K3616	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
2	8BT325	OTHER	TX	BCBS THRU SAEMA

General Provider Information

NPI Number	:	1073627501
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HARRY SHAWN MILLER M.D.

Provider Business Mailing Address
First Line	:	421 ROYAL COLONNADE
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76011-3260
Country	:	US
Telephone Number	:	817-275-5261
Fax Number	:	817-548-8639

Provider Business Practice Location Address
First Line	:	2205 N TARRANT PKWY
Second Line	:
City	:	FT WORTH
State	:	TX
Zip	:	76177-2204
Country	:	US
Telephone Number	:	817-328-3320
Fax Number	:	817-328-3320

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

Provider Enumeration Date	:	08/19/2006
Last Update Date	:	10/10/2025

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