Type 1 individualNPI 1609701036

JUSTIN MILLER

246ZC0007X · SEABROOK, TX

Why this profile is appearing now

Observed change signals

Newly enumerated

The official enumeration date falls within the documented new-enumeration window.

  • Enumeration date is 38 days before observation

Reported classification

Taxonomies

CodeDescriptionSource flag
246ZC0007X 246ZC0007X Primary

Taxonomy reporting does not establish licensure, board certification, expertise, or quality.

Longitudinal record

Observed change timeline

  1. 0 recorded field change s