Individual
JOSE MIRANDA ANAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11212 TX-151, SAN ANTONIO, TX 78251
(210) 703-8141
Mailing address
2507 OAK RAIN, SAN ANTONIO, TX 78251-2527
(619) 818-9140
Taxonomy
Speciality
Code
Description
License number
State
2278P3900X
Neonatal/Pediatric Certified Respiratory Therapist
—
—
2279G1100X
General Care Registered Respiratory Therapist
Primary
RCP000078099
TX
Other
Enumeration date
01/19/2018
Last updated
01/19/2018
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