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:
Health care specialties
Specialty | Code | License # | 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 last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1952314213 | NPPES |
Texas | Other | 212528802 | WELLMED MEDICAID |
Texas | Other | TXB153249 | WELLMED MEDICAID |
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