MIRANDA SHALEK

SAN ANTONIO, TX
NPI1861073009
Former NameMIRANDA DOMINGO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TX  PA14399)
Enumeration Date2021-04-19
Last Update Date2026-01-08
Business Address
MIRANDA SHALEK PA
9150 HUEBNER RD STE 290
SAN ANTONIO, TX 78240-1598
Phone number: 210-614-6432
Mailing Address
MIRANDA SHALEK PA
9150 HUEBNER RD STE 290
SAN ANTONIO, TX 78240-1598
Phone number: 210-614-6432