Individual
MIRANDA CONCEPCION LEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
300 BEARDSLEY LN STE D102, AUSTIN, TX 78746-4951
(512) 383-5204
Mailing address
3706 GOODWIN AVE UNIT 272, AUSTIN, TX 78721-2489
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1011591
TX
Other
Enumeration date
03/18/2026
Last updated
04/10/2026
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