Search › Texas › 363AM0700X
Ivan Miranda, PA-C
NPI 1003547670 · on the registry since 2022
Practice
- Address
- 16479 Dallas Pkwy Ste 320
Addison, TX 75001 - Phone
- (469) 484-4260
- Organisation at this address
- Kip Queenan Md, Pllc
Genoa Healthcare Llc
Dr Karen E Allen, Od, Inc
Preston Hollow Psychiatry Group, Pllc
Dallas Center For Advanced Depression TreatmentsInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Also registered as
- 363A00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-12-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas