Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jea Mirasol, PA-C

Individual provider Medical Physician Assistant · NPI 1629858550

Jea Mirasol, PA-C is a Medical Physician Assistant in Houston, Texas. Licensed in Texas. Registered with an NPI since 2023.

Licensed in
TX
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

6701 Fannin St
Houston, TX 77030-2608
Phone: (832) 824-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA17064 (TX)

Record details

NPI number1629858550
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 28, 2023
Last updated in NPPESSeptember 28, 2023
Certification dateSeptember 28, 2023

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