Provider Demographics
NPI:1497142277
Name:MILLER, VIRGINA M I (ANP)
Entity Type:Individual
Prefix:
First Name:VIRGINA
Middle Name:M
Last Name:MILLER
Suffix:I
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2023 GARDENIA DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77018-4605
Mailing Address - Country:US
Mailing Address - Phone:713-628-1387
Mailing Address - Fax:713-743-5164
Practice Address - Street 1:100 UH HEALTH CENTER
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77204-3019
Practice Address - Country:US
Practice Address - Phone:713-743-5132
Practice Address - Fax:713-743-5164
Is Sole Proprietor?:No
Enumeration Date:2015-04-20
Last Update Date:2015-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP100808364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health