Individual
DR. FERNANDO E MIRANDA SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D. , P. A. ,
Contact information
Practice address
4301B VISTA RD, #100, PASADENA, TX 77504-2117
(713) 960-0590
Mailing address
PO BOX 205732, DALLAS, TX 75320-5732
(713) 960-0590
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
L6528
TX
Other
Enumeration date
06/13/2006
Last updated
09/19/2024
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