Provider Demographics
NPI:1205891009
Name:MILLER, ADAM H (MD)
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:H
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 1:2801 N I35 STE 130
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75007-6453
Mailing Address - Country:US
Mailing Address - Phone:469-568-2500
Mailing Address - Fax:
Practice Address - Street 1:2801 N I35 STE 130
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75007-6453
Practice Address - Country:US
Practice Address - Phone:469-568-2500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-18
Last Update Date:2018-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK0134207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX113611104 (MDACC)Medicaid
TX113611105Medicaid
TX113611103Medicaid
F69715Medicare UPIN
TX113611104 (MDACC)Medicaid