William Elias Mirabal, PA-C
Physician Assistant, Medical in Tyler, TX. Individual provider (NPI-1).
NPI number1891237962
StatusActive
Last updated in NPPESNov 7, 2016
Details
- NPI
- 1891237962
- Entity type
- Individual (NPI-1)
- Name
- William Elias Mirabal
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 7, 2016
- Last updated
- Nov 7, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | PA10979 | TX | Yes |
Practice location
2608 McDonald RdTyler, TX 75701-5934
Phone 903-595-5514
Mailing address
2608 McDonald RdTyler, TX 75701-5934
Phone 903-595-5514
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