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NPI Code Detail

MEDICARE: ISABEL ESPERANSA MIRELES

MEDICARE: ISABEL ESPERANSA MIRELES
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 Technician

General Provider Information

NPI Number : 1780557090
Entity Type Code : Individual
Provider Name (Legal Business Name) : ISABEL ESPERANSA MIRELES
Provider Business Mailing Address
First Line : 1206 DALLAS ST
Second Line :
City : DURANT
State : OK
Zip : 74701-3126
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2011 TEXOMA PKWY STE 20
Second Line :
City : SHERMAN
State : TX
Zip : 75090-2688
Country : US
Telephone Number : 903-500-2099
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2025
Last Update Date : 09/24/2025

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Directions to “ ISABEL ESPERANSA MIRELES ” Practice Location

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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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