Egbert Miranda Mdpa

NPI 1366537201 - Internal Medicine - 207RE0101X

NPI Details
NPI 1366537201
Enumeration Date 10/04/2006
Last Updated 10/03/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name EGBERT EGBERT
Position OWNER
Phone (361) 991-5520
Fax (361) 991-5521
Practice Location
5866 S STAPLES ST
STE. 403
CORPUS CHRISTI TX, 78413-3700, US
Phone (361) 991-5520
Fax (361) 991-5521
Business Location
5866 S STAPLES ST
STE. 403
CORPUS CHRISTI TX, 78413-3700, US
Phone (361) 991-5520
Fax (361) 991-5521
Toxanomy
Taxonomy Code 207RE0101X
License State
License Number
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According to our database, Egbert Miranda Mdpa NPI is 1366537201, taxonomy code is 207RE0101X Egbert Miranda Mdpa physically located at 5866 S Staples St, Corpus Christi TX, 78413-3700. NPI Number 1033115704 has the healthcare provider type.

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1366537201 NPI number is provided on an as is basis without warranty of any kind. 1366537201 is maintained by the National Plan & Provider Enumeration System. The contents of Egbert Miranda Mdpa are for informational purposes only.