Individual
MRS. MINI MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6701 FANNIN ST, HOUSTON, TX 77030-2316
(832) 824-3800
Mailing address
2 E GREENWAY PLZ, SUITE 900, HOUSTON, TX 77046-0297
(713) 798-1750
(713) 798-1144
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
L8134
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184951501
—
TX
Enumeration date
11/01/2006
Last updated
03/29/2011
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