Provider Demographics
NPI:1316938590
Name:MILLER, JAMES E (DPM)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:E
Last Name:MILLER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
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Mailing Address - Street 1:5825 CALLAGHAN RD STE 102
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78228-1106
Mailing Address - Country:US
Mailing Address - Phone:210-227-8700
Mailing Address - Fax:210-348-9130
Practice Address - Street 1:3303 S WW WHITE RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78222-4829
Practice Address - Country:US
Practice Address - Phone:210-650-0314
Practice Address - Fax:210-654-1783
Is Sole Proprietor?:No
Enumeration Date:2005-11-04
Last Update Date:2018-03-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX0610213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8A4612OtherBCBS
TX18633002Medicaid
TX8A4612Medicare ID - Type Unspecified
TXT14825Medicare UPIN