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NPI Code Detail

MEDICARE: RACHEL NICOLE MILLER P.A.

MEDICARE: RACHEL NICOLE MILLER P.A.
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
1363A00000XPhysician AssistantPA10619TX

General Provider Information

NPI Number : 1649623315
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL NICOLE MILLER P.A.
Provider Business Mailing Address
First Line : 2222 ROSEWOOD AVE
Second Line :
City : AUSTIN
State : TX
Zip : 78702-2206
Country : US
Telephone Number : 512-465-4840
Fax Number : 512-465-4841
Provider Business Practice Location Address
First Line : 2222 ROSEWOOD AVE
Second Line :
City : AUSTIN
State : TX
Zip : 78702-2206
Country : US
Telephone Number : 512-465-4840
Fax Number : 512-465-4841
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2016
Last Update Date : 08/07/2023

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