Individual
IADARA LIVIER MARTINEZ MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
17201 I H 45 S, SHENANDOAH, TX 77385-3311
(936) 279-2099
Mailing address
17201 I H 45 S, SHENANDOAH, TX 77385-3311
(936) 270-2099
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
P1894
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
306483402
—
TX
05
—
306483403
—
TX
05
—
306483405
—
TX
Enumeration date
08/18/2008
Last updated
02/09/2023
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