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Individual
DR. EGBERT MIRANDA
Active
Individual
DR. EGBERT MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
H7792
TX
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
H7792
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093785230
NPI
TX
01
—
153378801
TPI #
TX
Enumeration date
01/23/2006
Last updated
02/11/2019
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