Individual provider Active NPI

Sabina Yvonne Miranda, DO

  • Neurology Physician
  • Houston, TX
National Provider Identifier
1497871909
Registry record updated Jan 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
P1673 Issued in TX
Practice address
11307 FM 1960 Rd W
Suite 320
Houston, TX 77065-3687
Phone
(832) 604-3644
Fax
(281) 955-8573
NPI assigned
Mar 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X P1673 TX Primary

Addresses

Primary practice location

11307 FM 1960 Rd W
Suite 320
Houston, TX 77065-3687

Mailing address

11307 FM 1960 Rd W
Suite 320
Houston, TX 77065-3687
Phone (832) 604-3644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
P1673TXMDNeurology Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327968000000",
    "number": "1497871909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11307 FM 1960 RD W",
            "address_2": "SUITE 320",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770653687",
            "telephone_number": "832-604-3644",
            "fax_number": "281-955-8573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11307 FM 1960 RD W",
            "address_2": "SUITE 320",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770653687",
            "telephone_number": "832-604-3644",
            "fax_number": "281-955-8573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "SABINA",
        "middle_name": "YVONNE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2012-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "P1673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.