Individual
KYINA CHAVETTE MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
11476 SPACE CENTER BLVD STE 100, HOUSTON, TX 77059-3656
(713) 500-7885
Mailing address
6431 FANNIN, SUITE JJL 270, HOUSTON, TX 77030-1501
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1376004317
TX
363L00000X
Nurse Practitioner
210750
LA
363LF0000X
Family Nurse Practitioner
F03190337
TX
Other
Enumeration date
03/30/2019
Last updated
09/28/2022
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