Yaoska Brasilia Miranda-Rosales, PA-C
Individual provider Active NPI Medical Physician Assistant · Atascocita, TX
NPI 1306303441 · NPPES record last updated Jun 15, 2022
Key facts
- NPI
- 1306303441
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- PA13247 (TX)
- Practice address
- 17903 W Lake Houston Pkwy Ste 101
Atascocita, TX 77346-3954 - Phone
- (215) 570-6856
- NPI assigned
- Feb 25, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Houston Carenow Urgent Care PLLC
Providence Physician Associates
Practice addresses (Care Compare)
102 W 11TH St
Houston, TX 77008-6857
Phone (835) 539-4707
10422 Research Forest Dr
Magnolia, TX 77354-6155
Phone (832) 702-7699
1150 W Dallas St
Conroe, TX 77301-2208
Phone (713) 955-4510
11845 N Grand Pkwy E
New Caney, TX 77357-1839
Phone (832) 432-6150
300 Northpark Dr
Kingwood, TX 77339-1672
Phone (281) 310-8445
3832 Atascocita Rd
Suite C
Humble, TX 77396-3533
Phone (281) 812-0578
4517 Kingwood Dr
Kingwood, TX 77345-2621
Phone (832) 831-9094
6306 Fairbanks N Houston Rd
Suite 500
Houston, TX 77040-5193
Phone (832) 831-9094
7306 Louetta Rd
Spring, TX 77379-6115
Phone (832) 271-5589
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200108000678 | TX | Practitioner - Physician Assistant | 3072948660 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9128 | GA | MD | Physician Assistant |
| PA13247 | TX | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southlake Doctors Express, PA PSC | Current | Accepting new patients | |
| Carbon Health Medical Group of Florida PA | Current |
Accepting new patients | |
| Carbon Health Medical Group of Florida PA | Current |
Accepting new patients | |
| Brazos Medical Center | Past | Accepting new patients |
Locations
17903 W Lake Houston Pkwy
Ste 101
Humble, TX 77346
Phone (215) 570-6856
2315 E Southlake Blvd
Ste 110
Southlake, TX 76092
Phone (817) 488-9922
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA13247 | TX | Yes |
| Physician Assistant | 363A00000X | 9128 | GA |
Addresses
Primary practice location
17903 W Lake Houston Pkwy Ste 101
Atascocita, TX 77346-3954
Mailing address
17903 W Lake Houston Pkwy Ste 101
Atascocita, TX 77346-3954
Phone (215) 570-6856
Other practice location 1
4517 Kingwood Dr
Kingwood, TX 77345-2621
Phone (281) 547-7556
Other providers in Atascocita, TX
- Lisa Laverne Maddox
- Yaneth Mainegra Sanchez
- Hilary Maurin
- Cheyenne Lynn Millett
- Camille Miner
- Danielle Moreno
- Cassandra Sanford Navarrete
- Nikola Gajic MD PA
- Oceanus Dental, PLLC
- Omonye Olaniyan
All providers in Atascocita, TX · Medical Physician Assistant in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.