Gwendolyn Miller, MD | |
313 E 12th St, Suite 101, Austin, TX 78701-1954 | |
(512) 324-9650 | |
Not Available |
Full Name | Gwendolyn Miller |
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Gender | Female |
Speciality | Internal Medicine - Geriatric Medicine |
Location | 313 E 12th St, Austin, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700812716 | NPI | - | NPPES |
118053107 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | H6438 (Texas) | Secondary |
207RG0300X | Internal Medicine - Geriatric Medicine | H6438 (Texas) | Primary |
Entity Name | Seton Family Of Doctors |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588997233 PECOS PAC ID: 0941333280 Enrollment ID: O20100806000260 |
Mailing Address | Practice Location Address |
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Gwendolyn Miller, MD 4616 W Howard Ln, Austin, TX 78728-6300 Ph: () - | Gwendolyn Miller, MD 313 E 12th St, Suite 101, Austin, TX 78701-1954 Ph: (512) 324-9650 |
Dr. Tatiana B. Jacobson, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 5656 Bee Caves Rd. Bldg C Ste. 102, Austin, TX 78746 Phone: 512-323-5465 Fax: 512-327-1390 | |
Preeti Venkatraman, M.B.B.S. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 E 15th St, Austin, TX 78701 Phone: 512-324-7000 | |
Pritesh Harish Gandhi, M.D., M.P.H. Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 1101 Camino La Costa, Austin, TX 78752 Phone: 512-684-1832 | |
Dr. Joshua Lane Davis, D.O. Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 1004 W 32nd St Unit 300, Austin, TX 78705 Phone: 512-324-3440 | |
Dr. Grace Marie Grant-jennings, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 7000 North Mopac, Suite # 420, Austin, TX 78731 Phone: 512-482-0045 Fax: 512-476-9892 | |
Dr. Debra Ann Patt, MD, MPH Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 6204 Balcones Dr, Austin, TX 78731 Phone: 512-427-9400 Fax: 512-342-2723 | |
Dr. Matthew Morris Medlock, M.D. Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 6233 Carrington Dr, Austin, TX 78749 Phone: 512-293-0247 |