Provider Demographics
NPI:1346411352
Name:MIYAKE, CHRISTINA YUMI (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:YUMI
Last Name:MIYAKE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:YUMI
Other - Last Name:MIYAKE MONKMEYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:6651 MAIN ST # E1920
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2351
Mailing Address - Country:US
Mailing Address - Phone:832-826-5600
Mailing Address - Fax:832-826-4287
Practice Address - Street 1:6651 MAIN ST # E1920
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2351
Practice Address - Country:US
Practice Address - Phone:832-826-5600
Practice Address - Fax:832-826-4287
Is Sole Proprietor?:No
Enumeration Date:2008-03-18
Last Update Date:2018-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP76732080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology