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Individual

MRS. MIHAIELA ILVES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CSFA, CST

Contact information

Practice address
1600 HOSPITAL PKWY, BEDFORD, TX 76022-6913
(817) 848-4000
Mailing address
1600 HOSPITAL PKWY, BEDFORD, TX 76022-6913
(817) 848-4000

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
154012
TX
246ZS0410X
Surgical Technologist
Primary
122442
TX

Other

Enumeration date
04/17/2013
Last updated
10/06/2014
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