Individual
DAVID ANTHONY MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1901 SW H K DODGEN LOOP, TEMPLE, TX 76502-1814
(254) 771-8600
Mailing address
5007 GREGORY PL, WEST LAKE HILLS, TX 78746-5508
(601) 520-2723
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M3026
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8U4378
BCBS
TX
01
—
8V2233
BCBS
TX
01
—
8V7082
BCBS
TX
01
—
8X7458
BCBS
TX
Enumeration date
07/13/2006
Last updated
03/05/2008
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