Mira Healthcare of Texas Pllc

NPI #1700188497 in Georgetown, Texas

Provider Information

NPI Number
1700188497
Entity Type
Organization
Organization Name
Mira Healthcare of Texas Pllc
Primary Specialty
Anesthesiology
Enumeration Date
Dec 1, 2010
Last Updated
Dec 1, 2010

Practice Location

Address
2000 SCENIC DR
State
Texas
ZIP Code
78626-7726
Phone
(817) 861-3994

Authorized Official

Name
DR. PHILIP W EICHENHOLZ, MD
Title
CHAIRMAN/CEO
Phone
(877) 882-9099

Specialties & Taxonomy Codes

Specialty
Anesthesiology

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