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Individual

MR. JOSE LUIS MILERA JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
8111 ESTATE DR, LAREDO, TX 78045-8130
(956) 235-5019
Mailing address
8111 ESTATE DR, LAREDO, TX 78045-8130
(956) 235-5019

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP130279
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AP130279
TEXAS BOARD OF NURSING
TX
Enumeration date
02/12/2016
Last updated
02/12/2016
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