Organization
MIRA HEALTHCARE OF TEXAS PLLC
Active
Organization
MIRA HEALTHCARE OF TEXAS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP W EICHENHOLZ MD (CHAIRMAN/CEO)
(877) 882-9099
Entity
Organization
Contact information
Practice address
2000 SCENIC DR, GEORGETOWN, TX 78626-7726
(817) 861-3994
(817) 861-3926
Mailing address
2000 E LAMAR BLVD, SUITE 450, ARLINGTON, TX 76006-7346
(817) 861-3994
(817) 861-3926
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
TX
Other
Enumeration date
12/01/2010
Last updated
12/01/2010
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