Individual
ANETRA SHARICE MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
5373 W ALABAMA ST STE 204, HOUSTON, TX 77056-5923
(866) 925-5662
(866) 925-5662
Mailing address
6445 FM 1463 RD STE 160-213, KATY, TX 77494-4027
(866) 925-5662
(866) 925-5662
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2125
TX
213ES0103X
Foot & Ankle Surgery Podiatrist
80195
MS
Other
Enumeration date
01/30/2008
Last updated
09/22/2021
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