Provider Demographics
NPI:1902887383
Name:MILLER, JAMES GRANT JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:GRANT
Last Name:MILLER
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:9910 MARIE MDW
Mailing Address - Street 2:
Mailing Address - City:GARDEN RIDGE
Mailing Address - State:TX
Mailing Address - Zip Code:78266-2343
Mailing Address - Country:US
Mailing Address - Phone:219-637-1194
Mailing Address - Fax:
Practice Address - Street 1:36000 DARNALL LOOP
Practice Address - Street 2:CRDAMC
Practice Address - City:FORT HOOD
Practice Address - State:TX
Practice Address - Zip Code:76544-5095
Practice Address - Country:US
Practice Address - Phone:254-288-8945
Practice Address - Fax:254-288-8924
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-11
Last Update Date:2012-06-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD040893E2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology