Individual
DR. LEONIDAS S MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 PEAKWOOD DR STE 5D, HOUSTON, TX 77090-2903
(832) 353-2500
(281) 880-9483
Mailing address
800 PEAKWOOD DR STE 5D, HOUSTON, TX 77090-2903
(832) 353-2500
(281) 880-9483
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
FTL 41417
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167310501
—
TX
05
—
167310502
—
TX
05
—
167310503
—
TX
01
—
8A9394
BCBS
TX
01
—
P00770738
RAILROAD MEDICARE
TX
Enumeration date
03/07/2007
Last updated
09/11/2018
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