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Individual

DANIEL MIRELES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2171 WOODWARD ST, AUSTIN, TX 78744-1049
(512) 610-3001
Mailing address
1649 ARBOR KNOT DR, KYLE, TX 78640-8019
(702) 238-9847

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1405174
TX
225200000X
Physical Therapy Assistant
2110595
TX

Other

Enumeration date
06/11/2015
Last updated
04/14/2025
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