Elaine Kay Miller D.O.

NPI 1265768568 - Dermatology - 207N00000X

NPI Details
NPI 1265768568
Gender Female
Enumeration Date 10/22/2009
Last Updated 10/22/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
1622 8TH AVE
SUITE 100
FORT WORTH TX, 76104-4154, US
Phone (817) 927-2332
Fax
Business Location
1622 8TH AVE
SUITE 100
FORT WORTH TX, 76104-4154, US
Phone
Fax
Toxanomy
Taxonomy Code 207N00000X
License State Texas
License Number L7812
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According to our database, Elaine Kay Miller D.O. NPI is 1265768568, taxonomy code is 207N00000X and license number is L7812, license state is located at Texas. Elaine Kay Miller D.O. physically located at 1622 8th Ave, Fort Worth TX, 76104-4154. NPI Number Elaine Kay Miller D.O. has the Individual type.

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1265768568 NPI number is provided on an as is basis without warranty of any kind. 1265768568 is maintained by the National Plan & Provider Enumeration System. The contents of Elaine Kay Miller D.O. are for informational purposes only.