Provider Demographics
NPI:1922578624
Name:UBAS, MYRAH JOY (AG-ACNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:MYRAH
Middle Name:JOY
Last Name:UBAS
Suffix:
Gender:F
Credentials:AG-ACNP-BC
Other - Prefix:
Other - First Name:MYRAH
Other - Middle Name:RISMA
Other - Last Name:DEGRACIA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:27700 NORTHWEST FWY STE 310
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-6767
Mailing Address - Country:US
Mailing Address - Phone:281-870-4567
Mailing Address - Fax:281-870-4884
Practice Address - Street 1:27700 NORTHWEST FWY STE 310
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-6767
Practice Address - Country:US
Practice Address - Phone:281-870-4567
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-26
Last Update Date:2018-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP139821363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care