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Individual

DR. HERNAN E MIRANDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1215 S COULTER ST, SUITE 104, AMARILLO, TX 79106-1758
(806) 350-7355
(806) 350-7362
Mailing address
1215 S COULTER ST, SUITE 104, AMARILLO, TX 79106-1758
(806) 350-7355
(806) 350-7362

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
N0984
TX

Other

Enumeration date
09/07/2005
Last updated
03/15/2016
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