Provider Demographics
NPI:1912151150
Name:HARDEE, MIRANDA JO (MD)
Entity Type:Individual
Prefix:
First Name:MIRANDA
Middle Name:JO
Last Name:HARDEE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:8240 N MOPAC EXPY STE 100
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-8869
Mailing Address - Country:US
Mailing Address - Phone:512-687-1950
Mailing Address - Fax:
Practice Address - Street 1:11410 JOLLYVILLE RD STE 1101
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-4093
Practice Address - Country:US
Practice Address - Phone:512-231-1444
Practice Address - Fax:512-231-7051
Is Sole Proprietor?:No
Enumeration Date:2008-11-14
Last Update Date:2021-10-19
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Provider Licenses
StateLicense IDTaxonomies
TXP6413208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology