Provider Demographics
NPI:1760443790
Name:MILLER, GEORGE G (MD)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:G
Last Name:MILLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4501 CARTWRIGHT RD
Mailing Address - Street 2:STE 605M
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-3541
Mailing Address - Country:US
Mailing Address - Phone:832-261-4808
Mailing Address - Fax:888-977-1299
Practice Address - Street 1:3030 EDGEWATER BLVD
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-4438
Practice Address - Country:US
Practice Address - Phone:281-277-3939
Practice Address - Fax:281-277-5069
Is Sole Proprietor?:No
Enumeration Date:2006-03-29
Last Update Date:2020-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG8286207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX137440712Medicaid
TX0810228012Medicaid
TX081022801Medicaid
TXZ000697N6Medicaid
TX137440703Medicaid
TX081022801Medicaid
TX00697NMedicare PIN
TX00608RMedicare PIN
TX8293N0Medicare PIN