Organization
HERNAN E. MIRANDA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HERNAN E MIRANDA MD (OWNER)
(805) 350-7355
Entity
Organization
Contact information
Practice address
1301 S COULTER ST, SUITE 104, AMARILLO, TX 79106-1763
(806) 350-7355
(806) 350-7362
Mailing address
1301 S COULTER ST, SUITE 104, AMARILLO, TX 79106-1763
(806) 350-7355
(806) 350-7362
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
N0984
TX
Other
Enumeration date
03/14/2016
Last updated
03/14/2016
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