Individual
MIRANDA JANUCIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
11801 SOUTH FWY, BURLESON, TX 76028-7021
(817) 913-5201
Mailing address
11801 SOUTH FWY, BURLESON, TX 76028-7021
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
25628750
WV
Other
Enumeration date
05/27/2025
Last updated
05/27/2025
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