| Thomas J. Miller, M.d., P.a. | |
|
3600 Matlock Rd Ste 102 Arlington TX 76015-3679 | |
| (817) 467-9096 | |
| (817) 472-9338 |
| Full Name | Thomas J. Miller, M.d., P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 3600 Matlock Rd Ste 102, Arlington, Texas |
| Authorized Official Name and Position | Thomas J Miller (PRESIDENT) |
| Authorized Official Contact | 8714679096 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas J. Miller, M.d., P.a. 3600 Matlock Rd Ste 102 Arlington TX 76015-3679 Ph: (817) 467-9096 | Thomas J. Miller, M.d., P.a. 3600 Matlock Rd Ste 102 Arlington TX 76015-3679 Ph: (817) 467-9096 |
| NPI Number | 1679881338 |
|---|---|
| Provider Enumeration Date | 09/15/2010 |
| Last Update Date | 07/19/2023 |
| Medicare PECOS PAC ID | 0042403420 |
|---|---|
| Medicare Enrollment ID | O20101018000891 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679881338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G4655 (Texas) | Primary |
| Provider Name | Thomas J Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003819798 PECOS PAC ID: 0648464867 Enrollment ID: I20101102000563 |
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