Individual
DR. MARIELA BERNAL IRIZARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
520 S MUSTANG RD, YUKON, OK 73099-6737
(405) 936-5865
(405) 936-5866
Mailing address
520 S MUSTANG RD, YUKON, OK 73099-6737
(405) 936-5865
(405) 936-5866
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
44036
OK
207Q00000X
Family Medicine Physician
R3037
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3763567-01
—
TX
Enumeration date
06/28/2013
Last updated
03/19/2025
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