Active NPI
Patricia Salazar Mireles, MD
- Neurology with Special Qualifications in Child Neurology Physician
- Plano, TX
National Provider Identifier
1508060187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- P0640
- Practice address
- 4032 McDermott Rd
Suite 100
Plano, TX 75024-7733 - Phone
- (972) 769-9000
- NPI assigned
- Jun 14, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | P0640 | TX | Primary |
Addresses
Primary practice location
4032 McDermott Rd
Suite 100
Plano, TX 75024-7733
Mailing address
4032 McDermott Rd
Suite 100
Plano, TX 75024-7733
Phone (972) 769-9000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P0640 | TX | MD | Neurology with Special Qualifications in Child Neurology Physician |
Interoperability endpoints
- patricia.mireles@tcnp.eclinicaldirectplus.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403481600000",
"number": "1508060187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4032 MCDERMOTT RD",
"address_2": "SUITE 100",
"city": "PLANO",
"state": "TX",
"postal_code": "750247733",
"telephone_number": "972-769-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4032 MCDERMOTT RD",
"address_2": "SUITE 100",
"city": "PLANO",
"state": "TX",
"postal_code": "750247733",
"telephone_number": "972-769-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRELES",
"first_name": "PATRICIA",
"middle_name": "SALAZAR",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-14",
"last_updated": "2014-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "TX",
"license": "P0640",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.