Provider Demographics
NPI:1124194758
Name:MILLER, JOSEPH NORBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:NORBERT
Last Name:MILLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3900 WEST 15TH STREET
Mailing Address - Street 2:SUITE 304
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075
Mailing Address - Country:US
Mailing Address - Phone:972-985-9595
Mailing Address - Fax:972-985-9595
Practice Address - Street 1:3900 WEST 15TH STREET
Practice Address - Street 2:SUITE 304
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075
Practice Address - Country:US
Practice Address - Phone:972-985-9595
Practice Address - Fax:972-985-9595
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-27
Last Update Date:2010-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF6956207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
C19395Medicare UPIN
TXOOEU32Medicare ID - Type Unspecified