Mira, Joaquin G.

Mira, Joaquin G. is an individual health care provider with primary practice located at 4383 Medical Dr , San Antonio TX 78229-3307. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Mira, Joaquin G. can be contacted via phone (210) 593-5700.

Contact Information

Primary practice address
4383 Medical Dr San Antonio TX 78229-3307
Phone: (210) 593-5700
Fax: (210) 593-5992
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X E2055 Texas

Profile Details

NPI number 1831126127
LBN Legal business name Mira, Joaquin G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Jul 30th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831126127 NPPES
Texas MEDICAID 131561602
Texas Other 4080638

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