MIRANDA SHALEK

NEW BRAUNFELS, TX
NPI1861073009
Former NameMIRANDA DOMINGO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TX  PA14399)
Enumeration Date2021-04-19
Last Update Date2025-07-08
Business Address
MIRANDA SHALEK PA
189 E AUSTIN ST STE 101
NEW BRAUNFELS, TX 78130-4170
Phone number: 210-951-9055
Mailing Address
MIRANDA SHALEK PA
12709 TOEPPERWEIN RD STE 101
LIVE OAK, TX 78233-3259
Phone number: 210-625-4733
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