IVAN MIRANDA

ADDISON, TX
NPI1003547670
Professional NameIVAN MIRANDA
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: TX  PA17718)
Enumeration Date2022-06-23
Last Update Date2024-04-02
Business Address
MR. IVAN MIRANDA PA-C
16479 DALLAS PKWY STE 320
ADDISON, TX 75001-6709
Phone number: 469-484-4260
Mailing Address
MR. IVAN MIRANDA PA-C
16479 DALLAS PKWY STE 320
ADDISON, TX 75001-6709
Phone number: 469-484-4260
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