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Carl Miller

  • Male

Medical Specialty

Professional ID

  • NPI: 1124229208
  • PECOS ID: 7012162530
  • Enrollment ID: I20170829001535
  • Credential(MD, DO, DPM):
  • Medical School: University Of Michigan Medical School
  • Medical School Graduation Year: 2007

Hospital Service

  • Hospital CCN1: 450702
  • Business Name (LBN)1: Longview Regional Medical Center
  • Hospital CCN2: 450032
  • Business Name (LBN)2: Good Shepherd Medical Center Marshall

Medical Practices

  • Organization Name: East Texas Radiology Consultants
  • Group Practice ID assigned by PECOS: 6305937194
  • Number of Group Practice member: 6

Location

  • Address1: 2901 N 4th St
  • Address2:
  • City: Longview
  • State: Texas
  • Zip Code: 75605
  • Phone Number: (903)758-1818

Location

  • Address1: 707 Hollybrook Dr
  • Address2:
  • City: Longview
  • State: Texas
  • Zip Code: 75605
  • Phone Number: (903)757-6042

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
  • Used Electronic health record (EHR):