MEDICARE: DR. JAMIR ENCARNACION MIRELES MD

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
1	207Q00000X	Family Medicine Physician	MD00047482	WA
2	207Q00000X	Family Medicine Physician	M7436	TX

General Provider Information

NPI Number	:	1881804540
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMIR ENCARNACION MIRELES MD

Provider Business Mailing Address
First Line	:	5231 NORTH FWY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77022-1730
Country	:	US
Telephone Number	:	713-694-2300
Fax Number	:	713-694-2303

Provider Business Practice Location Address
First Line	:	1219 BLACKBERRY HOLLOW DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77073-5605
Country	:	US
Telephone Number	:	281-821-2033
Fax Number	:	281-821-2033

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2007
Last Update Date	:	05/29/2018

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