| Doctor Name: | MIRELLA M AUGUSTINE-HOWARD |
| NPI Number: | 1033255732 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMT, C.O.E. |
| License Number: | 6004100 |
| Business Practice Address: | 5309 N Colony Blvd The Colony, TX - 750561307 |
| Business Phone Number: | 6174357678 |
| Business Fax Number: | 4692005209 |
| Mailing Address: | 5309 N Colony Blvd, THE COLONY |
| State: | TX |
| Postal Code: | 750561307 |
| Phone Number: | 6174357678 |
| Fax Number: | 4692005209 |
| NPI Enumeration Date: | 01/29/2007 |
| NPI Last Update Date: | 11/19/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 6004100 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |