Provider Demographics
NPI:1679679773
Name:MILLER, PATIENCE B (MD)
Entity Type:Individual
Prefix:DR
First Name:PATIENCE
Middle Name:B
Last Name:MILLER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:7922 EWING HALSELL DR
Mailing Address - Street 2:SUITE 420
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3786
Mailing Address - Country:US
Mailing Address - Phone:210-614-8900
Mailing Address - Fax:210-614-8901
Practice Address - Street 1:7922 EWING HALSELL DR
Practice Address - Street 2:SUITE 420
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3786
Practice Address - Country:US
Practice Address - Phone:210-614-8900
Practice Address - Fax:210-614-8901
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-15
Last Update Date:2010-01-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXM4358207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX195703701Medicaid
TX8F9325Medicare PIN