Organization · NPI-2

Amalia M Miranda MD PLLC

Ophthalmology · Oklahoma City, OK

NPI number1194951657
StatusActive
Last updated in NPPESJun 10, 2009

Details

NPI
1194951657
Entity type
Organization (NPI-2)
Legal business name
Amalia M Miranda MD PLLC
Organization subpart
No
Enumeration date
Jun 10, 2009
Last updated
Jun 10, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207W00000X OphthalmologyMD16074OKYes

Practice location

3435 Nw 56th St Ste 700
Oklahoma City, OK 73112-4442

Phone 405-921-8571 · Fax 405-945-4748

Mailing address

3435 Nw 56th St Ste 700
Oklahoma City, OK 73112-4442

Phone 405-921-8571 · Fax 405-945-4748

Authorized official

Amalia M Miranda
Owner
4059218571

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