| Irma Mireles | |
|
9624 Mariner Cir Apt 1206 Fort Worth TX 76179-3210 | |
| (817) 455-3944 | |
| Not Available |
| Full Name | Irma Mireles |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9624 Mariner Cir, Fort Worth, Texas |
| Authorized Official Name and Position | Irma Mireles (THERAPIST) |
| Authorized Official Contact | 8174553944 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Irma Mireles 9624 Mariner Cir Apt 1206 Fort Worth TX 76179-3210 Ph: (817) 455-3944 | Irma Mireles 9624 Mariner Cir Apt 1206 Fort Worth TX 76179-3210 Ph: (817) 455-3944 |
| NPI Number | 1306381827 |
|---|---|
| Provider Enumeration Date | 12/20/2016 |
| Last Update Date | 12/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306381827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 51649 (Texas) | Primary |
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