Dr. Michael Tiller
Surgeon Trauma Surgeon Surgical Critical Care
3551 Roger Brooke Dr
Fort Sam Houston
, Texas 78234-4504
Dr. Michael Tiller
Surgeon Trauma Surgeon Surgical Critical Care
3551 Roger Brooke Dr
Fort Sam Houston
, Texas 78234-4504
(202) 425-2103
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About
Features
Specialties
- Surgeon
- Surgical Critical Care
- Trauma Surgeon
Languages spoken
- English
Location
First Address
- Dr. Michael Tiller
- 117 E Lullwood Ave
- San Antonio, TX
- Zip : 78212-2317
- Phone : (202) 425-2103
Second Address
- Dr. Michael Tiller
- 3551 Roger Brooke Dr
- Fort Sam Houston, TX
- Zip : 78234-4504
- Fax : (215) 243-4605
- Phone : (202) 425-2103
Reviews
FAQs
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What is Dr. Michael Tiller ’s gender?
Is Dr. Michael Tiller a sole practitioner?
Is Dr. Michael Tiller accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | 4301075583 | MI |
| N | 208600000X | Surgeon | 4301075583 | MI |
| N | 208200000X | Surgeon | MD457338 | PA |
| N | 208600000X | Surgeon | MD457338 | PA |
| N | 2086S0102X | Surgical Critical Care | MD457338 | PA |
| Y | 2086S0127X | Trauma Surgeon | 4301075583 | MI |
National Provider Identifier
| NPI | 1356306658 |
|---|---|
| Provider Name | Dr. Michael Tiller |
| First Address | San Antonio, TX 78212-2317 |
| Second Address | Fort Sam Houston, TX 78234-4504 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/04/2006 |
| Last Update Date | 13/04/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1356306658 | (05) | DC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.