Individual provider · Type 1 NPI
Anetra Sharice Miranda, DPM
Foot & Ankle Surgery Podiatrist · Houston, TX
NPI number
1871770917
Active
Practice location
5373 W Alabama St Ste 204
Houston, TX 77056-5923
Fax (866) 925-5662
Mailing address
6445 FM 1463 Rd Ste 160-213
Katy, TX 77494-4027
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 2125 (TX) |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 80195 (MS) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1871770917
Anetra Sharice Miranda, DPM's National Provider Identifier is 1871770917, issued on Jan 30, 2008. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Houston, TX. The record was last updated on Sep 22, 2021.