Miller, Jennifer M

Miller, Jennifer M is an individual health care provider with primary practice located at 1005 W Ralph Hall Pkwy Ste 221 , Rockwall TX 75032-6662. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Miller, Jennifer M can be contacted via phone (972) 772-5450.

Contact Information

Primary practice address
1005 W Ralph Hall Pkwy Ste 221 Rockwall TX 75032-6662
Phone: (972) 772-5450
Fax: (972) 772-5452
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X K9131 Texas

Profile Details

NPI number 1174572903
LBN Legal business name Miller, Jennifer M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2006
Last updated Nov 6th, 2013 - about 11 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 1174572903 NPPES
Texas MEDICAID 0428831-02
Texas Other 080175603

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