Individual
DIANA ISABEL MIJARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4243 REVETMENT WAY, SAN ANTONIO, TX 78223-2387
(512) 709-7616
Mailing address
4243 REVETMENT WAY, SAN ANTONIO, TX 78223-2387
(512) 709-7616
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1169470
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
1169470
TX
Other
Enumeration date
07/22/2024
Last updated
02/20/2025
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