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

Khusrav Mirov, AGACNP

Individual provider Acute Care Nurse Practitioner · NPI 1023989274

Khusrav Mirov, AGACNP is a Nurse Practitioner in San Antonio, Texas. Qualified in 2025, 1 year ago. Practices with Hospital Medicine Services of Tx, PLLC, a 372-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
1
Licensed in
TX
In the registry since
2025

Practice location Address checks out

1139 E Sonterra Blvd
San Antonio, TX 78258-4347
Phone: (210) 576-5401
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 1212964 (TX)

Record details

NPI number1023989274
Entity typeIndividual (Type 1)
GenderMale
Credentials AGACNP
Sole proprietorNo
NPI enumeratedSeptember 12, 2025
Last updated in NPPESSeptember 12, 2025
Certification dateSeptember 12, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Hospital Medicine Services Of Tx, Pllc — 372 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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