Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | AP125850 | TX |
NPI | 1003220732 |
---|---|
Provider Name | Stephen Lee Miller |
First Address | Houston, TX 77065-3840 |
Second Address | Houston, TX 77065 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2014 |
Last Update Date | 20/10/2021 |