Individual
DR. EGBERT MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5934 S STAPLES ST STE 205, CORPUS CHRISTI, TX 78413-3842
(361) 991-5520
(361) 991-5521
Mailing address
5934 S STAPLES ST STE 205, CORPUS CHRISTI, TX 78413-3842
(361) 991-5520
(361) 991-5521
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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