MIRANDA ELYCE LEIJA

SAN ANTONIO, TX
NPI1558157347
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: TX  PA18728)
Additional Taxonomies208VP0000X 
(Licence: TX  PA18728)
Enumeration Date2025-04-17
Last Update Date2025-07-28
Business Address
MIRANDA ELYCE LEIJA PA-C
2130 NE LOOP 410
SAN ANTONIO, TX 78217-4659
Phone number: 210-634-1232
Mailing Address
MIRANDA ELYCE LEIJA PA-C
10603 MOUNT MARCY
SAN ANTONIO, TX 78213-1615
Phone number: 210-848-7515