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Contact Information

RICARDO A MIRANDA, MD
12222 N CENTRAL EXPY # 150
DALLAS, TX75243-3755
 Phone: 469-298-1444
 Fax: 918-403-6335
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for RICARDO A MIRANDA · (Male)

NPI Number 1083929087
Status Active
Credentials MD
Entity Individual
Enumeration date 08/13/2010
Last updated 10/09/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 31335
  • TX License # R8430
  • OK Medicaid 200599300A
Hospital affiliation(s)
  • JPS HEALTH NETWORK - (Acute Care)
    1500 S MAIN ST
    FORT WORTH, TX 76104
  • WISE REGIONAL HEALTH SYSTEM - (Acute Care)
    609 MEDICAL CENTER DRIVE
    DECATUR, TX 76234
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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