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William Elias Mirabal, PA-C
Medical Physician Assistant in Tyler, Texas
NPI 1891237962

William Elias Mirabal is a Medical Physician Assistant based in Tyler, TX and is specialized in Medical. William Elias Mirabal practices in Tyler, TX and has the professional credentials of PA-C. The NPI Number for William Elias Mirabal is 1891237962 and holds a License No. PA10979 (Texas).

The current practice location address for William Elias Mirabal is 2608 Mcdonald Rd, Tyler, TX and can be reached out via phone at 903-595-5514.

Location: 2608 Mcdonald Rd, Tyler, TX, 75701-5934
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891237962
Provider Name
William Elias Mirabal
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
2608 Mcdonald Rd, Tyler, TX, 75701-5934
Phone Number
903-595-5514
Fax Number
Provider Enumeration Date
11/07/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2608 Mcdonald Rd
City
Tyler
State
Texas
Zip
75701-5934
Phone Number
903-595-5514
Fax Number
person
Provider Business Mailing Address Details
Address
2608 Mcdonald Rd
City
Tyler
State
Texas
Zip
75701-5934
Phone Number
903-595-5514
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA10979 (Texas)
Definition
Definition to come...
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