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Individual

CARLOS MIRELES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6416 POLARIS DR STE 2, LAREDO, TX 78041-2089
(956) 568-5140
Mailing address
407 CAYMAN CT, LAREDO, TX 78045-8002

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1225752
TX
363LF0000X
Family Nurse Practitioner
Primary
982846
TX

Other

Enumeration date
10/21/2025
Last updated
02/03/2026
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