Dwayne C. Miller

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

H0638 Issued in TX

Legal business name

DWAYNE C. MILLER

Doing business as

Dwayne C. Miller, MD PA

Practice address

10201 Highway 16
Comanche, TX 76442-4462

Phone

(325) 356-7051

Fax

(325) 356-7051

NPI assigned

Sep 7, 2007

Last updated

Apr 3, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dwayne C Miller, MDNPI 1316957574

Title

MD

Phone

(254) 879-4910

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Dwayne C. Miller, MD PA Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dwayne C Miller, M.D.

  • Family Medicine Physician
  • Comanche, TX
  • NPI 1316957574
  Authorized official Same address or phone

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238716800000",
    "number": "1285829895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6610 HWY 2318",
            "city": "COMANCHE",
            "state": "TX",
            "postal_code": "764426622",
            "telephone_number": "254-879-4910",
            "fax_number": "254-879-4991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 HIGHWAY 16",
            "city": "COMANCHE",
            "state": "TX",
            "postal_code": "764424462",
            "telephone_number": "325-356-7051",
            "fax_number": "325-356-7051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DWAYNE C. MILLER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-07",
        "last_updated": "2009-04-03",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DWAYNE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "254-879-4910",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H0638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DE4230",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179364801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dwayne C. Miller, MD PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chayse Clark Dillard, PHARMD
• Doctors Medical Center Clinic
• Guyle P Donham, D.O.
• Dr S Howard Dickey DO PA
• Dr. Raymond W. Stepp, P.C.
• Sara D Eaker
• Gary M Easley, DDS
• Emily Jeannene Ellis, FNP
• Peter G. Fagan, M.D.
• Faithgracejoy, PLLC

• Family Medicine Physician in Comanche, TX
• Providers in Comanche, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2009; 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.