Individual
MRS. MEENU MIRELES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3051 GARDEN AVE, SUITE 159 BLDG 1279, FORT SAM HOUSTON, TX 78234-7598
(210) 295-4843
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 539-9582
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA01878
TX
Other
Enumeration date
10/21/2005
Last updated
08/26/2020
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