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NPI Code Detail

MEDICARE: MIA MERCADO

MEDICARE: MIA MERCADO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianTX

General Provider Information

NPI Number : 1013875954
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIA MERCADO
Provider Business Mailing Address
First Line : 800 NICOLE DR
Second Line :
City : BURLESON
State : TX
Zip : 76028-5284
Country : US
Telephone Number : 817-353-3241
Fax Number :
Provider Business Practice Location Address
First Line : 110 SW THOMAS ST
Second Line :
City : BURLESON
State : TX
Zip : 76028-3818
Country : US
Telephone Number : 682-200-3965
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2026
Last Update Date : 01/12/2026

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Directions to “ MIA MERCADO ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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