Provider Demographics
NPI:1568407252
Name:SCHIESS, MYA C (MD)
Entity Type:Individual
Prefix:
First Name:MYA
Middle Name:C
Last Name:SCHIESS
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 1:6410 FANNIN ST STE 1010
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-5301
Mailing Address - Country:US
Mailing Address - Phone:832-325-7080
Mailing Address - Fax:832-325-7263
Practice Address - Street 1:6410 FANNIN ST STE 1010
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-5301
Practice Address - Country:US
Practice Address - Phone:832-325-7080
Practice Address - Fax:832-325-7263
Is Sole Proprietor?:No
Enumeration Date:2006-06-18
Last Update Date:2017-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG74272084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8I29120OtherMEDICARE
TX130022625OtherRAILROAD MEDICARE
TX187563504OtherCSHCN
TX84232KOtherBCBS
TX124360206Medicaid
TXB88050Medicare UPIN
TX130022625Medicare PIN
TX84262KMedicare PIN