Active NPI
Mira Innab, MD
- Otolaryngology Physician
- Houston, TX
National Provider Identifier
1730910225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- BP10090046
- Practice address
- 1515 Holcombe Blvd Unit 1445
Houston, TX 77030-4000 - Phone
- (713) 792-6924
- NPI assigned
- Aug 8, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | BP10090046 | TX | Primary |
Addresses
Primary practice location
1515 Holcombe Blvd Unit 1445
Houston, TX 77030-4000
Mailing address
7300 Brompton St Apt 5221
Houston, TX 77025-2169
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10090046 | TX | MD | Otolaryngology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723334400000",
"number": "1730910225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7300 BROMPTON ST APT 5221",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770252169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 HOLCOMBE BLVD UNIT 1445",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770304000",
"telephone_number": "713-792-6924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INNAB",
"first_name": "MIRA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-08",
"last_updated": "2024-08-11",
"certification_date": "2024-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "TX",
"license": "BP10090046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
- Megan Inman
- Thomas Inman III
- Thomas Carroll Inman Jr., D.D.S.
- Inmotion Medical, Inc.
- Inmotion Prosthetics Houston LLC
- Innate Chiropractic Healing Arts Center, Inc.
- Innategirl Chiropractic Care, PLLC
- Inner and Outer Glow, PLLC
- Inner Balance Psychological Services, PLLC
- Inner City Ambulance Services Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.