| NPI | 1003547670 |
|---|---|
| Professional Name | IVAN MIRANDA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX PA17718) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA17718) |
| Enumeration Date | 2022-06-23 |
| Last Update Date | 2025-12-16 |