NPI age
14 years
Enumerated 2012-03-23
● Active
Type 1 · Individual
MRS. Miranda Debord Willette, PA-C
Willette is 1 of 866 physician assistant providers in San Antonio and 1 of 11022 in Texas.
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-03-07
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 11022 active physician assistant providers in Texas.
NPI age
14 years
↑ 4 yr above median (10 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
23% of peers hold subspecialties
NPI lifetime · 2012 → 2026
2012-03Enumerated in NPPES
2012
2026
Where they practice
Practice location
2710 Nogalitos
San Antonio, TX 782251750
Mailing address
2710 Nogalitos Ste 104
San Antonio, TX 782251750
Additional practice locations
1 secondary location on file with NPPES.
Location 2
12702 Toepperwein, Suite 104
San Antonio, TX 78233
Specialties
-
Physician Assistant PrimaryA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | R0187954 | DPS |
| 01 (TX) | PA07761 | MEDICAL LICENSE |
| 01 (TX) | 12370726 | CAQH |
Practice context
Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.
Recently enumerated nearby: 8 new physician assistant providers have been added in San Antonio in the last 180 days.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.