JASON E. MIRELES NPI 1750394243

NPI Information

NPI: 1750394243
Provider Name: JASON E. MIRELES

Former Legal Business Name: MIRELES PODITARY CLINIC

Classification: Podiatrist - 213ES0131X
Entity Type: Organization

Specialization: Foot Surgery

Address:
2430 W MISTLETOE AVE
SAN ANTONIO, TX
ZIP 78228
Phone: (210) 733-7179
Get Directions

JASON E. MIRELES is a foot surgery podiatrist in San Antonio, TX. JASON E. MIRELES NPI is 1750394243. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Mireles Poditary Clinic.

The provider's business location address is:

2430 W MISTLETOE AVE
SAN ANTONIO, TX
ZIP 78228-311
Phone: (210) 733-7179
Fax: (210) 824-1813

The provider's authorized official is Jason E Mireles .
The authorized official title is Podiatrist and has the following contact phone number (210) 387-6231.

The enumeration date for this NPI number is 8/14/2006 and was last updated on 5/23/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0131X	Podiatrist	Foot Surgery	1726	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4J836CK39	MEDICARE ID-TYPE UNSPECIFIED	LOUISIANA
2	V06083	MEDICARE UPIN	LOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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