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MR. SANFORD EUGENE MILLER ATC/LAT NPI 1568550200


NPI Information

NPI: 1568550200
Provider Name: MR. SANFORD EUGENE MILLER, ATC/LAT
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
HOMER BRYCE STADIUM/ATHLETIC FIELD HOUSE
NACOGDOCHES, TX
ZIP 75962
Phone: (936) 468-4550
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MR. Sanford Eugene Miller, ATC/LAT is a specialist in Nacogdoches, TX. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MR. Sanford Eugene Miller, ATC/LAT NPI is 1568550200. The provider is registered as an individual entity type and is a multiple single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

HOMER BRYCE STADIUM/ATHLETIC FIELD HOUSE
NACOGDOCHES, TX
ZIP 75962-001
Phone: (936) 468-4550
Fax: (936) 468-4052

The enumeration date for this NPI number is 10/10/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist625TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1780641OTHERTEXASATHLETIC TRAINER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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