Vanderslice, Mireya

Vanderslice, Mireya is an individual health care provider with primary practice located at 1900 N Main Ave , San Antonio TX 78212-3942. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Vanderslice, Mireya can be contacted via phone (210) 226-3204.

Contact Information

Primary practice address
1900 N Main Ave San Antonio TX 78212-3942
Phone: (210) 226-3204
Fax: (210) 226-2854
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 700867 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP114967 Texas

Profile Details

NPI number 1952314213
LBN Legal business name Vanderslice, Mireya
Credentials DNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Sep 26th, 2023 - about 3 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 1952314213 NPPES
Texas Other 212528802 WELLMED MEDICAID
Texas Other TXB153249 WELLMED MEDICAID

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