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Organization
ROBERTO MIRANDA, MD PA
Active
Organization
ROBERTO MIRANDA, MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERTO MIRANDA MD (PHYSICIAN/OWNER)
(512) 477-9202
Entity
Organization
Contact information
Practice address
110 CHALMERS AVE STE B, AUSTIN, TX 78702-4489
(512) 477-9202
(512) 472-9473
Mailing address
110 CHALMERS AVE STE B, AUSTIN, TX 78702-4489
(512) 477-9202
(512) 472-9473
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E2740
TX
Other
Enumeration date
01/09/2009
Last updated
01/09/2009
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