Provider Demographics
NPI:1821071937
Name:HAREA, MIHAELA CRISTINA (MD)
Entity Type:Individual
Prefix:DR
First Name:MIHAELA
Middle Name:CRISTINA
Last Name:HAREA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:227 TREASURE WAY
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-2144
Mailing Address - Country:US
Mailing Address - Phone:210-325-8369
Mailing Address - Fax:
Practice Address - Street 1:227 TREASURE WAY
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-2144
Practice Address - Country:US
Practice Address - Phone:210-325-8369
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-22
Last Update Date:2016-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL7410207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1600488-01Medicaid
TX8B1140Medicare ID - Type UnspecifiedMEDICARE
TX1600488-01Medicaid