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NPI Code Detail

MEDICARE: ANDREA MILLER

MEDICARE: ANDREA MILLER
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
1106S00000XBehavior TechnicianRBT-24-384844TX

General Provider Information

NPI Number : 1124963590
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA MILLER
Provider Business Mailing Address
First Line : 12474 STARCREST DR APT 1220
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78216-2966
Country : US
Telephone Number : 210-935-6801
Fax Number :
Provider Business Practice Location Address
First Line : 12474 STARCREST DR APT 1220
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78216-2966
Country : US
Telephone Number : 210-935-6801
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2026
Last Update Date : 04/22/2026

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Directions to “ ANDREA MILLER ” Practice Location

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