| NPI | 1750394243 |
|---|---|
| Former Legal Business Name | MIRELES PODITARY CLINIC |
| Entity Type | Organization |
| Authorized Contact | JASON E MIRELES Podiatrist 210-387-6231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X (Licence: TX 1726) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2008-05-23 |