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Organization
STAT CARE OF TEXAS PROFESSIONAL ASSOCIATION
Active
Organization
STAT CARE OF TEXAS PROFESSIONAL ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VICTOR MIRANDA M.D (CEO)
(616) 734-0335
Entity
Organization
Contact information
Practice address
4200 TWELVE OAKS DR, HOUSTON, TX 77027-6812
(713) 623-2500
Mailing address
PO BOX 8129, KENTWOOD, MI 49518-8129
(616) 734-0335
(616) 949-8540
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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