Individual
DR. RICARDO AARON MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12222 N CENTRAL EXPY # 150, DALLAS, TX 75243-3755
(469) 298-1444
(918) 403-6335
Mailing address
504 N REO ST, TAMPA, FL 33609-1013
(813) 549-2134
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
31335
OK
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
R8430
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200599300A
—
OK
Enumeration date
08/13/2010
Last updated
10/09/2019
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