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NPI Code Detail

MEDICARE: ERICA J. MILLER RN

MEDICARE: ERICA J. MILLER RN
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
1163WP0808XPsychiatric/Mental Health Registered Nurse766510TX

General Provider Information

NPI Number : 1205113016
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERICA J. MILLER RN
Provider Business Mailing Address
First Line : 4011 HAWTHORNE GLEN CT
Second Line :
City : FRESNO
State : TX
Zip : 77545-8863
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7601 FANNIN ST
Second Line :
City : HOUSTON
State : TX
Zip : 77054-1905
Country : US
Telephone Number : 713-799-0152
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2011
Last Update Date : 11/08/2011

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