Individual ProviderMira NakhlaOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address2203 Babcock Rd, San Antonio, TX 78229-4412(210) 614-3911PECOS EnrollmentBased on the most recent information from CMS, provider Mira Nakhla 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 ID1689168569Provider TypeIndividualFull NameNakhla, MiraTitleMrs.CredentialOTR/LGenderFemaleSole ProprietorYesEnumeration Date6/14/2018Last Updated7/20/2022Contact InformationPractice LocationPractice Address2203 Babcock Rd, San Antonio, TX 78229-4412Phone(210) 614-3911Fax(210) 625-3162Mailing LocationMailing Address2203 Babcock Rd, San Antonio, TX 78229-4412Phone(210) 614-3911Fax(210) 625-3162Provider TaxonomiesCodeDescriptionLicenseCode225X00000XPrimaryDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense122815TexasCode106S00000XDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicense18-57898Texas