Glenn R Miller Dpm

LBN: Glenn R Miller Dpm
Glenn R Miller Dpm is an health care organization with primary practice located at 7101 S Staples St Suite 103, Corpus Christi TX 78413-5542. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as the primary health care specialty. Glenn R Miller Dpm can be contacted via phone (361) 814-4055, or through Miller, Glenn Robin via phone (361) 814-4055.

Contact Information

Primary practice address
7101 S Staples St Suite 103 Corpus Christi TX 78413-5542
Phone: (361) 814-4055
Fax: (361) 814-1346
Website:
Map and Directions
Authorized official contact:
Name: Miller, Glenn Robin Doctor of Podiatric Medicine (DPM)
Phone: (361) 814-4055

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 1441 Texas

Profile Details

NPI number 1700057163
LBN Legal business name Glenn R Miller Dpm
DBA Doing business as
Authorized official Miller, Glenn Robin Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 13th, 2008
Last updated Nov 22nd, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700057163 NPPES
Texas MEDICAID 030428901

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