Miller, John David

Miller, John David is an individual health care provider with primary practice located at 1615 Hospital Parkway Suite 306, Bedford TX 76022. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Miller, John David can be contacted via phone (817) 684-5106.

Contact Information

Primary practice address
1615 Hospital Parkway Suite 306 Bedford TX 76022
Fax: (817) 684-5120
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X D7189 Texas

Profile Details

NPI number 1831250711
LBN Legal business name Miller, John David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Feb 14th, 2014 - about 10 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 1831250711 NPPES
Texas MEDICAID 084655201

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