Provider Demographics
NPI:1164403721
Name:APONTE, MIRIAM D (MD)
Entity Type:Individual
Prefix:
First Name:MIRIAM
Middle Name:D
Last Name:APONTE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2211 NORFOLK ST STE 140
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-4044
Mailing Address - Country:US
Mailing Address - Phone:713-385-4229
Mailing Address - Fax:713-526-0212
Practice Address - Street 1:2211 NORFOLK ST STE 140
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-4044
Practice Address - Country:US
Practice Address - Phone:713-385-4229
Practice Address - Fax:713-526-0212
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-10
Last Update Date:2019-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG66462084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX123757007Medicaid
TXC12903Medicare UPIN