| Mia Tiffany Aportadera Mira, CRNA | |
|
1900 Pine St, Abilene, TX 79601-2432 | |
| (325) 670-2000 | |
| Not Available |
| Full Name | Mia Tiffany Aportadera Mira |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1900 Pine St, Abilene, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598514481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 0001294275 (Virginia) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 1167696 (Texas) | Primary |
| Entity Name | Hendrick Anesthesia Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851394993 PECOS PAC ID: 3274521281 Enrollment ID: O20040505001856 |
| Mailing Address | Practice Location Address |
|---|---|
| Mia Tiffany Aportadera Mira, CRNA 1900 Pine St, Abilene, TX 79601-2432 Ph: (325) 670-2000 | Mia Tiffany Aportadera Mira, CRNA 1900 Pine St, Abilene, TX 79601-2432 Ph: (325) 670-2000 |
Erica Anne Piehl, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1900 Pine St, Abilene, TX 79601 Phone: 325-670-2277 | |
Miles C. Frazier, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1900 Pine St, Abilene, TX 79601 Phone: 325-670-4220 Fax: 325-672-8292 | |
Mrs. Tina R. Gray, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1900 Pine St, Abilene, TX 79601 Phone: 325-670-2277 | |
Kayaya Kabongo, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1900 Pine St, Abilene, TX 79601 Phone: 325-670-2277 | |
Margery A. Spivey, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1900 Pine St, Abilene, TX 79601 Phone: 325-670-2000 | |
Sean Patrick Mcfadden, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1900 Pine St, Abilene, TX 79601 Phone: 325-670-2000 | |
Shawn Russell Miller, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1900 Pine St, Abilene, TX 79601 Phone: 325-676-0577 Fax: 325-672-9869 |