Individual
ALEX GUILLERMO MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
825 GULF BANK RD TRLR 56, HOUSTON, TX 77037-2520
(832) 680-8784
Mailing address
825 GULF BANK RD TRLR 56, HOUSTON, TX 77037-2520
(832) 680-8784
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/25/2022
Last updated
08/25/2022
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