Individual provider · Type 1 NPI
Ivan Miranda, PA-C
Medical Physician Assistant · Addison, TX
NPI number
1003547670
Active
Practice location
16479 Dallas Pkwy Ste 320
Addison, TX 75001-6709
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA17718 (TX) |
| Physician Assistant | 363A00000X | PA17718 (TX) |
Medical Physician Assistant: Definition to come...
6 other providers at this address
- Dallas Center for Advanced Depression TreatmentsAdult Mental Health Clinic/Center Addison, TX NPI 1710566773
- Preston Hollow Psychiatry Group, PLLCPsychiatry Physician Addison, TX NPI 1851583397
- Dayna Kinney, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner Addison, TX NPI 1326524018
- Emily Ann StanfordPsychiatric/Mental Health Nurse Practitioner Addison, TX NPI 1245718303
- Marty Neal Bennett, MDPsychiatry Physician Addison, TX NPI 1487616272
- Patricia N. Stevenson, NPPsychiatric/Mental Health Nurse Practitioner Addison, TX NPI 1215881693
Other medical physician assistant providers in Addison
About NPI 1003547670
Ivan Miranda, PA-C's National Provider Identifier is 1003547670, issued on Jun 23, 2022. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Addison, TX. The record was last updated on Dec 16, 2025.