Dr Miranda Van Blarcum, DC RD is a
Dietitian, Registered based in Austin, Texas. Dr Miranda Van Blarcum is licensed to practice in Texas (license number DT92549) and her current practice location is
2105 E Mlk Blvd # 111, Austin, Texas. She can be reached at her office (for appointments etc.) via phone at
(512) 309-1650.
NPI number for Dr Miranda Van Blarcum is 1134519127 and her current mailing address is 2105 E Mlk Blvd # 111, Austin, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134519127.
Healthcare Provider's Profile
| Full Name | Dr Miranda Van Blarcum |
|---|
| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 2105 E Mlk Blvd # 111, Austin, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1134519127
- Provider Enumeration Date: 01/28/2015
- Last Update Date: 11/04/2025
Medical Identifiers
Medical identifiers for Dr Miranda Van Blarcum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1134519127 | NPI | - | NPPES |
| 13538 | Other | TX | TEXAS BOARD OF CHIROPRACTIC EXAMINERS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 111N00000X | Chiropractor | 13538 (Texas) | Secondary |
| 133V00000X | Dietitian, Registered | DT92549 (Texas) | Primary |
| 111N00000X | Chiropractor | 0104-557227 (Virginia) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Miranda Van Blarcum is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Miranda Van Blarcum, DC RD 2105 E Mlk Blvd # 111, Austin, TX 78702-1341 Ph: () - | Dr Miranda Van Blarcum, DC RD 2105 E Mlk Blvd # 111, Austin, TX 78702-1341 Ph: (512) 309-1650 |
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