| Anetra Sharice Miranda, DPM | |
| 
					5373 W Alabama St Ste 204, Houston, TX 77056-5923  | |
| (866) 925-5662 | |
| (866) 925-5662 | 
| Full Name | Anetra Sharice Miranda | 
|---|---|
| Gender | Female | 
| Speciality | Podiatrist - Foot & Ankle Surgery | 
| Location | 5373 W Alabama St Ste 204, Houston, Texas | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1871770917 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 2125 (Texas) | Primary | 
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 80195 (Mississippi) | Secondary | 
| Provider Name | Executive Sole Podiatry Pllc | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1053929430 PECOS PAC ID: 6800212325 Enrollment ID: O20200814000991  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Anetra Sharice Miranda, DPM 6445 Fm 1463 Rd Ste 160-213, Katy, TX 77494-4027 Ph: (866) 925-5662  | Anetra Sharice Miranda, DPM 5373 W Alabama St Ste 204, Houston, TX 77056-5923 Ph: (866) 925-5662  | 
Lan D Ngo, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 12784 Veterans Memorial Dr, Foot Clinic, Houston, TX 77014 Phone: 281-895-7808 Fax: 281-895-6377  | |
Felix Spiegel, M.D. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 5373 W Alabama St, Suite 121, Houston, TX 77056 Phone: 713-960-0003 Fax: 713-960-0004  | |
Dr. Onya Victoria Lemar, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1213 Hermann Dr, Ste 250, Houston, TX 77004 Phone: 832-403-3221 Fax: 832-403-3223  | |
Andrea K Rockett, DPM Podiatrist Medicare: May Accept Medicare Assignments Practice Location: 1234 Bay Area Blvd, Suite G, Houston, TX 77058 Phone: 281-488-3237 Fax: 281-488-4218  | |
Dr. Cherese Andria Thomas-ramoutar, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 114 W Drew St, Houston, TX 77006 Phone: 713-533-0840  | |
Hadley Mcarthur, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 12121 Richmond Ave Ste 417, Houston, TX 77082 Phone: 281-597-1630  | |
Taylor N Saucier, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 12121 Richmond Ave Ste 417, Houston, TX 77082 Phone: 281-597-1630 Fax: 281-531-9600  |