Individual
DR. MIRANDA VAN BLARCUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC RD
Contact information
Practice address
2105 E MLK BLVD # 111, AUSTIN, TX 78702-1341
(512) 309-1650
Mailing address
2105 E MLK BLVD # 111, AUSTIN, TX 78702-1341
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
0104-557227
VA
111N00000X
Chiropractor
13538
TX
133V00000X
Registered Dietitian
Primary
DT92549
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13538
TEXAS BOARD OF CHIROPRACTIC EXAMINERS
TX
Enumeration date
01/28/2015
Last updated
11/04/2025
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