Individual
LUIS A MIELES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6410 FANNIN ST, SUITE 370, HOUSTON, TX 77030-3000
(713) 704-6300
(713) 704-6360
Mailing address
6411 FANNIN ST, SUITE R7.21, HOUSTON, TX 77030-1501
(713) 704-6770
(713) 704-7041
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
L6118
TX
208600000X
Surgery Physician
L6118
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04623253
MISSISSIPPI MEDICAID
MS
01
—
8W5621
BCBS
TX
01
—
P00365834
RAIL ROAD MEDICARE
TX
Enumeration date
07/02/2006
Last updated
03/27/2008
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