Organization
EGBERT MIRANDA M.D. P.A.
Active
Parent organization
EGBERT MIRANDA M.D. P.A.
Organization subpart
Yes
Provider details
NPI number
Legal business name
EGBERT MIRANDA M.D. P.A.
Authorized official
DR. EGBERT MIRANDA M.D. (OWNER/PHYSICIAN)
(361) 991-5520
Entity
Organization
Contact information
Practice address
5934 S STAPLES ST STE 205, CORPUS CHRISTI, TX 78413-3842
(361) 991-5520
(361) 991-5521
Mailing address
5934 S STAPLES ST STE 205, CORPUS CHRISTI, TX 78413-3842
(361) 991-5520
(361) 991-5521
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
H7792
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093785230
TPI# 153378801
TX
Enumeration date
07/08/2011
Last updated
02/12/2019
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