KEITH E. MILLER, M.D.,P.A.
Marriage and Family Therapists at Tenaha St, Waterman, TX

License number
Texas H2155
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: KEITH E MILLER M.D.
Title: OWNER
Phone: (936) 598-2716
Address
Address
620 Tenaha St, Waterman, TX 75935
National Provider ID: 1134242381
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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KEITH E. MILLER, M.D., PA

620 Tenaha St, Center, TX 75935

Registration:
Dec 27, 2002
State ID:
0800157243
Business type:
Professional Association
President, Secretary, Member , Director:
Keith E. Miller (President, Secretary, Member , Director)
Agent:
Miller Keith,620 Tenaha St, Center, TX 75935 (Physical)
TIN:
32035821100

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