Egbert Miranda Mdpa

LBN: Egbert Miranda Mdpa
Egbert Miranda Mdpa is an health care organization with primary practice located at 5866 S Staples St Ste. 403, Corpus Christi TX 78413-3700. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as the primary health care specialty. Egbert Miranda Mdpa can be contacted via phone (361) 991-5520, or through Miranda, Egbert via phone (361) 991-5520.

Contact Information

Primary practice address
5866 S Staples St Ste. 403 Corpus Christi TX 78413-3700
Phone: (361) 991-5520
Fax: (361) 991-5521
Website:
Map and Directions
Authorized official contact:
Name: Miranda, Egbert Doctor of Medicine (MD)
Phone: (361) 991-5520

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X

Profile Details

NPI number 1366537201
LBN Legal business name Egbert Miranda Mdpa
DBA Doing business as
Authorized official Miranda, Egbert Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2006
Last updated Oct 3rd, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366537201 NPPES
Texas Other 00F33D BLUECROSS BLUESHIELD
Texas MEDICAID 153788-01 BLUECROSS BLUESHIELD

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