Individual
MICHAEL MIRANDA
Active
Individual
MICHAEL MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
Q1456
TX
390200000X
Student in an Organized Health Care Education/Training Program
57.018407
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
343132201
—
TX
01
—
8ER340
BCBS
TX
Enumeration date
10/25/2010
Last updated
03/18/2022
Update your record
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