Provider Demographics
NPI:1437149648
Name:MILLER, GEA M (MD)
Entity Type:Individual
Prefix:DR
First Name:GEA
Middle Name:M
Last Name:MILLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:BROOKE ARMY MEDICAL CENTER, ATTN: MCHE-QD
Mailing Address - Street 2:3851 ROGER BROOKE DRIVE
Mailing Address - City:FORT SAM HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:78234-6200
Mailing Address - Country:US
Mailing Address - Phone:210-916-0335
Mailing Address - Fax:210-916-1740
Practice Address - Street 1:BROOKE ARMY MEDICAL CENTER, ATTN: MCHE-QD
Practice Address - Street 2:3851 ROGER BROOKE DRIVE
Practice Address - City:FORT SAM HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:78234-6200
Practice Address - Country:US
Practice Address - Phone:210-916-0335
Practice Address - Fax:210-916-1740
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE8726171000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171000000XOther Service ProvidersMilitary Health Care Provider