Individual
MIRA INNAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1515 HOLCOMBE BLVD UNIT 1445, HOUSTON, TX 77030-4000
(713) 792-6924
Mailing address
7300 BROMPTON ST APT 5221, HOUSTON, TX 77025-2169
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
BP10090046
TX
Other
Enumeration date
08/08/2024
Last updated
08/11/2024
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