Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PE0004X | Emergency Medical Services | K0134 | TX |
NPI | 1205891009 |
---|---|
Provider Name | Adam H Miller |
First Address | Carrollton, TX 75007-6453 |
Second Address | Carrollton, TX 75007-6453 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2006 |
Last Update Date | 29/01/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
113611103 | (05) | TX |
113611104 (MDACC) | (05) | TX |
113611105 | (05) | TX |
F69715 | (02) |