WILLIAM ELIAS MIRABAL (NPI# 1891237962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891237962 |
| Entity Type | Individual |
| Full Name | WILLIAM ELIAS MIRABAL |
| Credential | PA-C |
| Practice Address |
2608 Mcdonald Rd Tyler TX 75701-5934 |
| Practice Telephone | 9035955514 |
| Mailing Telephone | 9035955514 |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2016-11-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA10979 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2608 MCDONALD RD |
| City | TYLER |
| State | TX |
| Zip Code | 75701-5934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285629501 | Christopher Scott Boylan | Internal Medicine | 2608 Mcdonald Rd, Tyler, TX 75701-5934 | 2005-09-13 |
| 1003414525 | Abram Ambriz | Nurse Practitioner | 2608 Mcdonald Rd, Tyler, TX 75701-5934 | 2020-10-16 |
| 1538706817 | Jason Blaine Scott | Nurse Practitioner | 2608 Mcdonald Rd, Tyler, TX 75701-5934 | 2019-12-05 |
| 1962052514 | Kristina Elane Johnson | Nurse Practitioner | 2608 Mcdonald Rd, Tyler, TX 75701-5934 | 2019-09-16 |
| 1043787435 | Ashley Lyn Tomlin | Nurse Practitioner | 2608 Mcdonald Rd, Tyler, TX 75701-5934 | 2018-10-24 |
| 1710469259 | Natalye Combs | Nurse Practitioner | 2608 Mcdonald Rd, Tyler, TX 75701-5934 | 2018-08-31 |
| 1619371960 | Monica Hudspeth | Nurse Practitioner | 2608 Mcdonald Rd, Tyler, TX 75701-5934 | 2014-10-15 |
| 1881995983 | Aleksandr Korniyenko | Internal Medicine | 2608 Mcdonald Rd, Tyler, TX 75701-5934 | 2010-11-06 |
| 1174784904 | Augustine Njoku | Internal Medicine | 2608 Mcdonald Rd, Tyler, TX 75701-5934 | 2008-06-24 |
| 1952518813 | Raul Alexis Torres Heisecke | Internal Medicine | 2608 Mcdonald Rd, Tyler, TX 75701-5934 | 2007-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962057059 | Gonzalo Fernandez | Physical Therapy Assistant | 753 S Beckham Ave, Tyler, TX 75701 | 2019-08-06 |
| 1215422654 | Adrianna Bussell | Nurse Practitioner | 1000 South Beckham, Tyler, TX 75701 | 2018-06-28 |
| 1285128017 | Idowu Akintokunbo Akinyele | Dentist | Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 | 2018-06-15 |
| 1992208912 | Heather Renee Vancleave | Occupational Therapy Assistant | 1228 Louann Lane, Tyler, TX 75701 | 2018-03-15 |
| 1497260533 | Smile Workshop Mckinney, Pllc | Dentist | 301 N. Custer Rd, Mckinney, TX 75701 | 2017-12-12 |
| 1396266441 | Eye Surgery Center of East Texas, Pllc | Clinic/Center | 2448 E 5th St, Tyler, TX 75701 | 2017-06-29 |
| 1962936369 | Collins Complete Family Care | Nurse Practitioner | 1910 E Se Loop 323 # 176, Tyler, TX 75701 | 2017-04-12 |
| 1386187052 | Fellowship Health Team LLC | Home Health | 1124 S Fleishel Ave, Tyler, TX 75701 | 2016-11-29 |
| 1205382454 | Brenton Robinson | Nurse Practitioner | 1100 East Lake St, 160, Tyler, TX 75701 | 2016-08-28 |
| 1851846208 | Care First Pharmacy, LLC | Pharmacy | 1910 Roseland Blvd A, Tyler, TX 75701 | 2016-08-15 |
| Find all providers in zip 75701 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033277884 | Stephen Randall Hammock | Physician Assistant | 225 Bunker Dr, Tyler, TX 75703-8873 | 2006-12-05 |
| 1285687004 | Luann Elizabeth Weber | Physician Assistant | 240 Willow St., Tyler, MN 56178-0240 | 2006-05-19 |
| 1831197342 | Jean Rene Yates-halbert | Physician Assistant | 520 Douglas Blvd, Tyler, TX 75702-8307 | 2005-07-08 |
| 1902317498 | Brittany Lauren Healey | Physician Assistant | 1367 Dominion Plz, Tyler, TX 75703-1013 | 2017-10-24 |
| 1518321066 | Kathryn Thorkelson | Physician Assistant | 700 Olympic Plaza Cir Ste 407, Tyler, TX 75701-1952 | 2016-04-11 |
| 1942661756 | Olivia Lane Urben Snodgrass | Physician Assistant | 700 Olympic Plaza Cir, Suite 510, Tyler, TX 75701-1951 | 2016-03-08 |
| 1053785568 | Natalie Shea Williams | Physician Assistant | 1020 E Idel St, Tyler, TX 75701-2024 | 2015-11-20 |
| 1467829440 | Jessica Atkinson | Physician Assistant | 5414 S Broadway Ave, Tyler, TX 75703-1335 | 2015-08-26 |
| 1366849101 | Elizabeth Cross Roe | Physician Assistant | 2017 Rickety Ln, Tyler, TX 75703-1706 | 2014-11-21 |
| 1760890693 | Neal Alton Burgess | Physician Assistant | 700 Olympic Plaza Cir, Suite 700, Tyler, TX 75701-1951 | 2014-07-23 |
| Find all providers in TYLER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.