Provider Demographics
NPI:1861732984
Name:MILLER, ZYAREAYA ZYERACES
Entity type:Individual
Prefix:
First Name:ZYAREAYA
Middle Name:ZYERACES
Last Name:MILLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 DUNSON GLEN DR
Mailing Address - Street 2:812
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-7007
Mailing Address - Country:US
Mailing Address - Phone:832-509-9245
Mailing Address - Fax:
Practice Address - Street 1:700 DUNSON GLEN DR
Practice Address - Street 2:812
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-7007
Practice Address - Country:US
Practice Address - Phone:832-509-9245
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-26
Last Update Date:2013-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No172A00000XOther Service ProvidersDriver
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home