Miller, Mark Allen

Miller, Mark Allen is an individual health care provider with primary practice located at 8210 Floyd Curl Dr , San Antonio TX 78229-3923. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Miller, Mark Allen can be contacted via phone (210) 450-3100.

Contact Information

Primary practice address
8210 Floyd Curl Dr San Antonio TX 78229-3923
Phone: (210) 450-3100
Fax: (210) 450-2219
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X ME127863 Florida
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 32796 Texas

Profile Details

NPI number 1083680367
LBN Legal business name Miller, Mark Allen
Credentials M.D., D.M.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated May 7th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083680367 NPPES
Texas MEDICAID 3722233

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