Dr. Jason Edward Mireles
Foot Surgery
14726 Hidden Glen Woods
San Antonio
, Texas 78249-1466
Dr. Jason Edward Mireles
Foot Surgery
14726 Hidden Glen Woods
San Antonio
, Texas 78249-1466
(210) 598-7278
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About
Features
Specialties
- Foot Surgery
Languages spoken
- English
Location
First Address
- Dr. Jason Edward Mireles
- 14726 Hidden Glen Woods
- San Antonio, TX
- Zip : 78249-1466
- Fax : (210) 598-7278
- Phone : (210) 710-7547
Second Address
- Dr. Jason Edward Mireles
- 14726 Hidden Glen Woods
- San Antonio, TX
- Zip : 78249-1466
- Fax : (210) 598-7278
- Phone : (210) 710-7547
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0131X | Foot Surgery | 1726 | TX |
National Provider Identifier
| NPI | 1255386736 |
|---|---|
| Provider Name | Dr. Jason Edward Mireles |
| First Address | San Antonio, TX 78249-1466 |
| Second Address | San Antonio, TX 78249-1466 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/05/2006 |
| Last Update Date | 18/09/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| V06083 | (02) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.