Organization
CHILDRENS CLINIC OF HARLINGEN PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY M MIRANDA JR. MD (PRESIDENT)
(956) 364-2900
Entity
Organization
Contact information
Practice address
1601 ALTON GLOOR, STE 109, BROWNSVILLE, TX 78520
(956) 547-9000
(956) 547-9017
Mailing address
608 N ED CAREY DRIVE, HARLINGEN, TX 78550
(956) 364-2900
(956) 364-1932
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112547
SUPERIOR
TX
Enumeration date
07/19/2006
Last updated
08/22/2020
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