Mark Douglas Miller in Kilgore - Family Medicine
Mark Douglas Miller - NPI 1609840388
Mark Douglas Miller is a Family Medicine in Kilgore, Texas. Mark Douglas Miller practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Mark Douglas Miller is 1609840388. The last update date is 2023-10-03.
Mark Douglas Miller's current location address is 1718 S Henderson Blvd, Kilgore, Texas. You can contact this provider via phone number 9039832110. The mailing address for Mark Douglas Miller is 1718 S Henderson Blvd, Kilgore, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Douglas Miller |
|---|---|
| Address | 1718 S Henderson Blvd, Kilgore, Texas |
| Phone Number | 9039832110 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1609840388 |
|---|---|
| Provider Enumeration Date | 2006-02-17 |
| Last Updated Date | 2023-10-03 |
Provider Mailing Address Detail
| Address | 1718 S Henderson Blvd |
|---|---|
| City | Kilgore |
| State | Texas (TX) |
| Post Code | 756623553 |
| Phone Number | 9039832110 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | J3705 |
|
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 124882502 | TX | -- | |
| 124882506 | TX | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mark Douglas Miller by the Centers for Medicare & Medicaid Services (CMS)?
The Mark Douglas Miller has been assigned the NPI (National Provider Identifier) 1609840388. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Mark Douglas Miller?
The Mark Douglas Miller is physically situated at 1718 S Henderson Blvd, in the city of Kilgore, state of TX, with the postal code 756623553.
What is the Mark Douglas Miller's area of specialization and corresponding taxonomy classification?
The Mark Douglas Miller's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
On what date did the Mark Douglas Miller receive its 1609840388 assignment from the Centers for Medicare & Medicaid Services?
The Mark Douglas Miller was assigned its 1609840388 by the Centers for Medicare & Medicaid Services on 2006-02-17.
As of what date were the Mark Douglas Miller's details last updated?
The information pertaining to the Mark Douglas Miller, including its address, specialty, and other details, was most recently updated on 2023-10-03.