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Individual

MARY ANN V MIRANDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2025 MEMORY LN STE 400A, HARKER HEIGHTS, TX 76548-7488
(254) 435-4995
(254) 432-5952
Mailing address
303 W MAIN ST, ROUND ROCK, TX 78664-5246
(512) 732-2774
(512) 344-9221

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25323
OK
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
N5247
TX

Other

Enumeration date
07/08/2006
Last updated
08/15/2024
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