Individual
RAUL MIRELES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7210 MCPHERSON RD, STE 210A, LAREDO, TX 78041-6507
(956) 722-5221
(956) 717-2910
Mailing address
PO BOX 450051, LAREDO, TX 78045-0051
(956) 722-5221
(956) 717-2910
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
E8075
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152853101
—
TX
01
—
H0037511
DPS
TX
Enumeration date
09/19/2006
Last updated
03/07/2023
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