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Contact Information

G D MILLER, PH.D.10/24/19
4001 W AIRPORT FWY
SUITE 185
BEDFORD, TX76021
 Phone: 817-283-8484
 Fax: 817-283-8286
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for G D MILLER · (Male)

NPI # 1720069255
Status Active
Credentials PH.D.10/24/19
Entity Individual
Enumeration date 11/10/2005
Last updated 01/13/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 2-1081
  • TX Other JC76 BC/BS PROVIDER NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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