Individual
JORGE ENRIQUE MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, FACOG
Contact information
Practice address
3001 N 23RD ST STE 1, MCALLEN, TX 78501-6179
(956) 581-2168
(956) 581-2169
Mailing address
5208 N 10TH ST # 4016, MCALLEN, TX 78504-2701
(956) 581-2168
(956) 581-2169
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
J2458
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
098923803
—
TX
Enumeration date
01/19/2007
Last updated
05/26/2023
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