Provider Demographics
NPI:1386063774
Name:MILLER, SAMUEL ANDREW (MD)
Entity type:Individual
Prefix:MR
First Name:SAMUEL
Middle Name:ANDREW
Last Name:MILLER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7901 METROPOLIS DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78744-3111
Mailing Address - Country:US
Mailing Address - Phone:512-823-4111
Mailing Address - Fax:512-823-4166
Practice Address - Street 1:7901 METROPOLIS DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78744-3111
Practice Address - Country:US
Practice Address - Phone:512-823-4111
Practice Address - Fax:512-823-4166
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-14
Last Update Date:2020-05-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA141176207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine