Provider Demographics
NPI:1093708687
Name:MILLER, DUANE C (MD)
Entity Type:Individual
Prefix:MR
First Name:DUANE
Middle Name:C
Last Name:MILLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1301 S LEGGETT DR
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79605-3826
Mailing Address - Country:US
Mailing Address - Phone:325-672-1984
Mailing Address - Fax:325-676-1995
Practice Address - Street 1:1111 INDUSTRIAL BLVD
Practice Address - Street 2:BLDG 2
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79602-7929
Practice Address - Country:US
Practice Address - Phone:325-795-9140
Practice Address - Fax:325-795-9150
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-30
Last Update Date:2010-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD64982084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX034300601Medicaid
TX034300602Medicaid
TX034300602Medicaid
C19394Medicare UPIN
TX034300601Medicaid