Provider Demographics
NPI:1679716948
Name:MILLER, ADAM RICHARD (MD)
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:RICHARD
Last Name:MILLER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7777 FOREST LN
Mailing Address - Street 2:SUITE B-424
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-2571
Mailing Address - Country:US
Mailing Address - Phone:972-566-8200
Mailing Address - Fax:972-233-0129
Practice Address - Street 1:7777 FOREST LN
Practice Address - Street 2:SUITE B-424
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-2571
Practice Address - Country:US
Practice Address - Phone:972-566-8200
Practice Address - Fax:972-233-0129
Is Sole Proprietor?:No
Enumeration Date:2009-04-15
Last Update Date:2016-01-13
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Provider Licenses
StateLicense IDTaxonomies
TXP5422207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX277006YQKSOtherMEDICARE PTAN