Individual
DR. LARRY M MIRANDA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
608 N ED CAREY DRIVE, HARLINGEN, TX 78550
(956) 364-2900
(956) 364-1932
Mailing address
608 N ED CAREY DRIVE, HARLINGEN, TX 78550
(956) 364-2900
(956) 364-1932
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
H9286
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135008405
—
TX
Enumeration date
07/24/2006
Last updated
09/10/2012
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