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1629858550
JEA MIRASOL
HOUSTON, TX
NPI
1629858550
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: TX PA17064)
Enumeration Date
2023-09-28
Last Update Date
2023-09-28
Business Address
JEA MIRASOL PA-C
6701 FANNIN ST
HOUSTON, TX 77030-2608
Phone number: 832-824-1000
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Mailing Address
JEA MIRASOL PA-C
2450 HOLCOMBE BLVD STE NB-34L
HOUSTON, TX 77021-2039
Phone number: 832-828-3660
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