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NPI Code Detail

MEDICARE: JONNA C MILLER MD

MEDICARE: JONNA C MILLER MD
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
1207V00000XObstetrics & Gynecology PhysicianK7187TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18F23067OTHERTXMEDICARE PIN (ANGLETON & PEARLAND)

General Provider Information

NPI Number : 1508859802
Entity Type Code : Individual
Provider Name (Legal Business Name) : JONNA C MILLER MD
Provider Business Mailing Address
First Line : 7400 FANNIN
Second Line : #1050
City : HOUSTON
State : TX
Zip : 77054-1923
Country : US
Telephone Number : 713-765-1004
Fax Number : 713-796-9485
Provider Business Practice Location Address
First Line : 7400 FANNIN
Second Line : #1050
City : HOUSTON
State : TX
Zip : 77054-1923
Country : US
Telephone Number : 713-765-1004
Fax Number : 713-796-9485
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2005
Last Update Date : 12/02/2009

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