Provider Demographics
NPI:1861474942
Name:MILLER, JEFFREY S (MD)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:S
Last Name:MILLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4112 LINKS LN
Mailing Address - Street 2:SUITE 103
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664-3902
Mailing Address - Country:US
Mailing Address - Phone:512-244-0161
Mailing Address - Fax:512-244-7814
Practice Address - Street 1:4112 LINKS LN
Practice Address - Street 2:SUITE 103
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-3902
Practice Address - Country:US
Practice Address - Phone:512-244-0161
Practice Address - Fax:512-244-7814
Is Sole Proprietor?:No
Enumeration Date:2005-11-15
Last Update Date:2016-08-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXH6896208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXD46535Medicare UPIN
TX00NF88Medicare PIN