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EGBERT MIRANDA M.D. P.A. NPI 1629365820


NPI Information

NPI: 1629365820
Provider Name: EGBERT MIRANDA M.D. P.A.
Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

Address:
5934 S STAPLES ST STE 205
CORPUS CHRISTI, TX
ZIP 78413
Phone: (361) 991-5520
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EGBERT MIRANDA M.D. P.A. is an endocrinology and diabetes and metabolism internal medicine in Corpus Christi, TX. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. EGBERT MIRANDA M.D. P.A. NPI is 1629365820. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5934 S STAPLES ST STE 205
CORPUS CHRISTI, TX
ZIP 78413-842
Phone: (361) 991-5520
Fax: (361) 991-5521

The provider's authorized official is Egbert Miranda .
The authorized official title is Owner/physician and has the following contact phone number (361) 991-5520.

The enumeration date for this NPI number is 7/8/2011 and was last updated on 2/12/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismH7792TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11093785230OTHERTEXASTPI# 153378801

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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