Individual ProviderJallana MirabalRegistered NurseNursing Service ProvidersPractice Address6606 Lbj Fwy Ste 200, Dallas, TX 75240-6524(972) 715-5000(972) 233-1999PECOS EnrollmentBased on the most recent information from CMS, provider Jallana Mirabal does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1639764343Provider TypeIndividualFull NameMirabal, JallanaCredentialRNGenderFemaleSole ProprietorNoEnumeration Date3/4/2021Last Updated3/4/2021Contact InformationPractice LocationPractice Address6606 Lbj Fwy Ste 200, Dallas, TX 75240-6524Phone(972) 715-5000Fax(972) 715-9976Mailing LocationMailing AddressPO Box 840853, Dallas, TX 75284-0853Phone(972) 233-1999Fax(972) 233-3666Provider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense761472Texas