| Jamir E Mireles Md Llc | |
|
5231 North Fwy Houston TX 77022-1730 | |
| (713) 694-2300 | |
| (713) 694-2303 |
| Full Name | Jamir E Mireles Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 5231 North Fwy, Houston, Texas |
| Authorized Official Name and Position | Jamir Encarnacion Mireles (SOLE MEMBER) |
| Authorized Official Contact | 7136942300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jamir E Mireles Md Llc 5231 North Fwy Houston TX 77022-1730 Ph: (713) 694-2300 | Jamir E Mireles Md Llc 5231 North Fwy Houston TX 77022-1730 Ph: (713) 694-2300 |
| NPI Number | 1619105798 |
|---|---|
| Provider Enumeration Date | 06/26/2009 |
| Last Update Date | 08/26/2009 |
| Medicare PECOS PAC ID | 2567517683 |
|---|---|
| Medicare Enrollment ID | O20090825000715 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619105798 | NPI | - | NPPES |
| 191777501 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M7436 (Texas) | Primary |
| Provider Name | Jamir E Mireles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881804540 PECOS PAC ID: 1456439223 Enrollment ID: I20080418000226 |
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