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NPI Code Detail

MEDICARE: TRAVIS JAMES MILLER

MEDICARE:   TRAVIS JAMES 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
1225200000XPhysical Therapy Assistant2129270TX

General Provider Information

NPI Number : 1992184220
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRAVIS JAMES MILLER
Provider Business Mailing Address
First Line : 1321 PARK BAYOU DR
Second Line :
City : HOUSTON
State : TX
Zip : 77077-1507
Country : US
Telephone Number : 315-725-0637
Fax Number :
Provider Business Practice Location Address
First Line : 1321 PARK BAYOU DR
Second Line :
City : HOUSTON
State : TX
Zip : 77077-1507
Country : US
Telephone Number : 315-725-0637
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2015
Last Update Date : 10/26/2018

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Directions to “ TRAVIS JAMES MILLER ” Practice Location

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