Provider Demographics
NPI:1417097288
Name:MIRANDA, FRANCISCO J (MD)
Entity Type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:J
Last Name:MIRANDA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:204 E 1ST ST
Mailing Address - Street 2:
Mailing Address - City:ALICE
Mailing Address - State:TX
Mailing Address - Zip Code:78332-4822
Mailing Address - Country:US
Mailing Address - Phone:361-396-0370
Mailing Address - Fax:361-664-2248
Practice Address - Street 1:301 S HILLSIDE DR
Practice Address - Street 2:STE 5,6,15
Practice Address - City:BEEVILLE
Practice Address - State:TX
Practice Address - Zip Code:78102-5307
Practice Address - Country:US
Practice Address - Phone:361-362-0307
Practice Address - Fax:361-362-0221
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2024-03-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXN3895208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX210711203Medicaid
TX210711204Medicaid