| Mireles Psychological Health Serv | |
|
110 E Savannah Ave Bldg B201 Mcallen TX 78503-1291 | |
| (956) 627-3660 | |
| Not Available |
| Full Name | Mireles Psychological Health Serv |
|---|---|
| Speciality | Psychologist |
| Location | 110 E Savannah Ave Bldg B201, Mcallen, Texas |
| Authorized Official Name and Position | Gerardo Mireles (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 2146218918 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mireles Psychological Health Serv 110 E Savannah Ave Bldg B201 Mcallen TX 78503-1291 Ph: () - | Mireles Psychological Health Serv 110 E Savannah Ave Bldg B201 Mcallen TX 78503-1291 Ph: (956) 627-3660 |
| NPI Number | 1861907255 |
|---|---|
| Provider Enumeration Date | 12/06/2017 |
| Last Update Date | 02/23/2021 |
| Certification Date | 02/23/2021 |
| Medicare PECOS PAC ID | 7416202015 |
|---|---|
| Medicare Enrollment ID | O20180622001562 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861907255 | NPI | - | NPPES |
| 388107001 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Gerardo Mireles |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912309915 PECOS PAC ID: 8325393929 Enrollment ID: I20180622001659 |
| Provider Name | Kasandra Garcia Reyna |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508455924 PECOS PAC ID: 5193139038 Enrollment ID: I20210204000245 |
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