Miller, James P

Miller, James P is an individual health care provider with primary practice located at 1500 Cooper St , Fort Worth TX 76104-2710. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Miller, James P can be contacted via phone (682) 885-7080.

Contact Information

Primary practice address
1500 Cooper St Fort Worth TX 76104-2710
Fax: (682) 885-7085
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X H5007 Texas

Profile Details

NPI number 1063493831
LBN Legal business name Miller, James P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Apr 2nd, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063493831 NPPES
Texas MEDICAID 140442852
Texas Other 1750369203
Texas MEDICAID 117648906
Texas MEDICAID 117648905
Texas Other 8A5664
Texas MEDICAID 137345810

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