NPI 1174041040
Shane Miller
Practice location
- Address
- 1714 Fortview Rd STE 106e, Austin, TX 78704-7659
- Phone
- (210) 850-7592
Registered specialties (2)
Homemaker
Primary
Personal Care Attendant
Registry record
- NPI
- 1174041040
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 31 Aug 2017
- Record last updated
- 13 Sep 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.