Individual
JORGE ALBERTO MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1504 TAUB LOOP, HOUSTON, TX 77030-1608
(173) 798-1000
Mailing address
1 BAYLOR PLZ, HOUSTON, TX 77030-3411
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
T1153
TX
2086S0102X
Surgical Critical Care Physician
T1153
TX
2086S0129X
Vascular Surgery Physician
Primary
T1153
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2018
Last updated
12/16/2024
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