MEDICARE: DR. MIRANDA VAN BLARCUM DC RD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	13538	TX
2	133V00000X	Registered Dietitian	DT92549	TX
3	111N00000X	Chiropractor	0104-557227	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	13538	OTHER	TX	TEXAS BOARD OF CHIROPRACTIC EXAMINERS

General Provider Information

NPI Number	:	1134519127
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MIRANDA VAN BLARCUM DC RD

Provider Business Mailing Address
First Line	:	2105 E MLK BLVD # 111
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78702-1341
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2105 E MLK BLVD # 111
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78702-1341
Country	:	US
Telephone Number	:	512-309-1650
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/28/2015
Last Update Date	:	11/04/2025

Similar Medicare Providers

1467740795 — MISS SARAH STAGG CARSON MSN, FNP-C
Practice Location Address:

2105 E MARTIN LUTHER KING JR BLVD STE 305
AUSTIN, TX
78702-1341

Practice Phone: 512-787-5747
Practice Fax: 866-397-1206

1174957534 — A CARING HEART AND HANDS, INC.
Practice Location Address:

1825 E 38TH 1/2 ST STE 1
AUSTIN, TX
78722-1341

Practice Phone: 512-705-9515
Practice Fax: 512-255-4054

1093122913 — HEART OF TEXAS MIDWIVES LLC
Practice Location Address:

1825 E 38TH 1/2 ST
AUSTIN, TX
78722-1341

Practice Phone: 512-925-8354
Practice Fax:

1396241063 — DR. WH HARRIS JR. DNP, FNP-BC
Practice Location Address:

500 E RIVERSIDE DR APT 209
AUSTIN, TX
78704-1341

Practice Phone: 915-781-9885
Practice Fax:

1689313769 — KIM DIEFENTHALER TAYLER MA, LPC, LCDC, CCTP
Practice Location Address:

11706 BIRCHBARK TRL
AUSTIN, TX
78750-1341

Practice Phone: 949-680-6555
Practice Fax:

1851029524 — NICOLE JAMES LPC
Practice Location Address:

2102 MARQUETTE LN
AUSTIN, TX
78723-1341

Practice Phone: 512-587-3631
Practice Fax:

Directions to “ DR. MIRANDA VAN BLARCUM DC RD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.