Bobby Joe Miller Jr.

Primary specialty

SpecialistTaxonomy code 174400000X

License

1146058 Issued in TX

Practice address

4600 Taft Blvd
Wichita Falls, TX 76308-4935

Phone

(940) 691-1710

Fax

(940) 691-2193

NPI assigned

Apr 20, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245457902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 COUNTY ROAD 3133",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762344609",
            "telephone_number": "940-399-8904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 TAFT BLVD",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763084935",
            "telephone_number": "940-691-1710",
            "fax_number": "940-691-2193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "BOBBY",
        "middle_name": "JOE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "1146058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midwestern Optical
• Midwestern State University-Vinson Health Center
• Francis Gerald Figueroa Mijares, M.D.
• William Alexander Millar, ABC
• Millars Orthotic & Prosthetic, Inc
• Cindy Ann Miller, RPH
• Daniel Miller
• Frank Curtis Miller, LPC
• James A Miller, PA-C
• Kiawauna D Miller

• Specialist in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.