Healthcare Provider Details

I. General information

NPI: 1417097288
Provider Name (Legal Business Name): FRANCISCO J MIRANDA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/08/2007
Last Update Date: 04/01/2025
Certification Date: 04/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 S HILLSIDE DR STE 5615
BEEVILLE TX
78102-5307
US

IV. Provider business mailing address

204 E 1ST ST
ALICE TX
78332-4822
US

V. Phone/Fax

Practice location:
  • Phone: 361-362-0307
  • Fax: 361-362-0221
Mailing address:
  • Phone: 361-396-0370
  • Fax: 361-664-2248

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberN3895
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: