Provider Demographics
NPI:1679818397
Name:MILLER, DANIEL LEE
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:LEE
Last Name:MILLER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 HWY 9 NORTH
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:AR
Mailing Address - Zip Code:72565
Mailing Address - Country:US
Mailing Address - Phone:501-315-3344
Mailing Address - Fax:501-315-1388
Practice Address - Street 1:105 HWY 9 NORTH
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:AR
Practice Address - Zip Code:72565
Practice Address - Country:US
Practice Address - Phone:501-315-3344
Practice Address - Fax:501-315-1388
Is Sole Proprietor?:No
Enumeration Date:2012-12-06
Last Update Date:2012-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator