Individual
MIRANDA ELISABETH WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
(817) 894-4232
Mailing address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
805176
TX
Other
Enumeration date
05/26/2025
Last updated
05/26/2025
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