| Mr Ivan Miranda, PA-C | |
|
16479 Dallas Pkwy Ste 320, Addison, TX 75001-6709 | |
| (469) 484-4260 | |
| Not Available |
| Full Name | Mr Ivan Miranda |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 16479 Dallas Pkwy Ste 320, Addison, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003547670 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA17718 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Ivan Miranda, PA-C 16479 Dallas Pkwy Ste 320, Addison, TX 75001-6709 Ph: (469) 484-4260 | Mr Ivan Miranda, PA-C 16479 Dallas Pkwy Ste 320, Addison, TX 75001-6709 Ph: (469) 484-4260 |
Mr. Mark William Glass, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 17051 Dallas Pkwy Ste 400, Addison, TX 75001 Phone: 214-370-3535 Fax: 214-370-0004 | |
Ms. Carla Michele Harris, MSSC PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5080 Spectrum Dr, Suite 1200 West Tower, Addison, TX 75001 Phone: 972-720-7848 | |
Alexis Danshelle Pegues, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 5040 Addison Cir Ste 400, Addison, TX 75001 Phone: 214-983-0303 | |
Melissa Ann Johnston, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 17051 Dallas Pkwy Ste 400, Addison, TX 75001 Phone: 214-370-3535 Fax: 214-370-0004 | |
Tiffany C. Hartman, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 16633 Dallas Pkwy Ste 150, Addison, TX 75001 Phone: 972-380-0030 | |
Mr. Charles E Ortega, PAC, MPAS Physician Assistant Medicare: Medicare Enrolled Practice Location: 16901 Dallas Pkwy Ste 206, Addison, TX 75001 Phone: 214-233-3094 Fax: 214-241-1167 |