EGBERT MIRANDA MDPA (NPI# 1366537201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366537201 |
| Entity Type | Organization |
| Organization Name | EGBERT MIRANDA MDPA |
| Practice Address |
5866 S Staples St Ste. 403 Corpus Christi TX 78413-3700 |
| Practice Telephone | 3619915520 |
| Practice Fax Number | 3619915521 |
| Mailing Telephone | 3619915520 |
| Mailing Fax Number | 3619915521 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-10-03 |
| Authorized Official Name | EGBERT MIRANDA (OWNER) |
| Authorized Official Telephone | 3619915520 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUECROSS BLUESHIELD | 00F33D | 01 |
| TX | 153788-01 | 05 |
| Street Address |
5866 S STAPLES ST STE. 403 |
| City | CORPUS CHRISTI |
| State | TX |
| Zip Code | 78413-3700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356306583 | Leroy A Boriack | Family Medicine | 5866 S Staples St, Suite 202, Corpus Christi, TX 78413-3700 | 2006-04-19 |
| 1386041697 | Kasparek Psychological Services, Pllc | Psychologist | 5866 S Staples St, Suite 401, Corpus Christi, TX 78413-3700 | 2014-12-02 |
| 1548603558 | Pt Home Services of San Antonio, Inc. | Home Health | 5866 S Staples St, Corpus Christi, TX 78413-3700 | 2013-04-09 |
| 1508146622 | Mario A. Quintanilla Md, Pllc | Clinical Neuropsychologist | 5866 S Staples St, Suite #401, Corpus Christi, TX 78413-3700 | 2011-08-20 |
| 1114227691 | Integra Chiropractic Group | Chiropractor | 5866 S Staples St, Suite 101, Corpus Christi, TX 78413-3700 | 2010-10-29 |
| 1518280569 | Chinese Wellness Center | Reflexologist | 5866 S Staples St, Suite 401, Corpus Christi, TX 78413-3700 | 2010-03-04 |
| 1700109741 | Asya Kareem | Acupuncturist | 5866 S Staples St, Suite 401, Corpus Christi, TX 78413-3700 | 2010-03-04 |
| 1598097032 | Usama Nassar | Physical Therapist | 5866 S Staples St, Suite#340, Corpus Christi, TX 78413-3700 | 2010-02-09 |
| 1922154269 | Janet K Kasparek | Psychologist | 5866 S Staples St, Corpus Christi, TX 78413-3700 | 2007-01-27 |
| 1932259710 | Lisha Qiu | Acupuncturist | 5866 S Staples St, Suite 401, Corpus Christi, TX 78413-3700 | 2007-01-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689159097 | Lillian M Alvarez | Nurse Practitioner | 4638 Gayle Dr, Corpus Christi, TX 78413 | 2018-10-02 |
| 1891276952 | Juan J Penaflor | Physical Therapy Assistant | 5301 Timbergate Dr, Corpus Christi, TX 78413 | 2018-08-27 |
| 1992293526 | Tsl Cc Opco, LLC | Assisted Living Facility | 5441 Lipes Blvd, Corpus Christi, TX 78413 | 2018-04-30 |
| 1891297370 | Ercilia Cortez | Home Health | 5206 Mill Wood Drive, Corpus Christi, TX 78413 | 2018-03-01 |
| 1194112888 | Amor Home Health, Inc. | Hospice Care, Community Based | 6262 Weber Rd., Corpus Christi, TX 78413 | 2015-04-20 |
| 1093105934 | Kid's Clinic | Clinic/Center | 7017 South Texas, Corpus Christi, TX 78413 | 2015-01-30 |
| 1720483829 | Tlc Corpus Emergency Care LLC | Clinic/Center | 7330 S. Staples Street, Corpus Christi, TX 78413 | 2014-10-31 |
| 1427324102 | Dorothy Valdez Montelongo | Counselor | 5025 Maylands Dr, Corpus Christi, TX 78413 | 2012-03-28 |
| 1720361553 | Pediatrix Dental, P.a. | Dentist | 6120 S. Staples, Corpus Christi, TX 78413 | 2011-09-28 |
| 1114182243 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 7442 South Staples St, Corpus Christi, TX 78413 | 2008-07-29 |
| Find all providers in zip 78413 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396785887 | Heriberto Alfredo Tejeda | Internal Medicine | 4609 S Padre Island Dr, Corpus Christi, TX 78411-4413 | 2006-06-07 |
| 1154329332 | Osvaldo Alexandro Brusco Jr. | Internal Medicine | 5814 Esplanade Dr, Corpus Christi, TX 78414 | 2005-07-12 |
| 1891115275 | Brandi Addison | Internal Medicine | 7121 S Padre Island Dr Ste 300, Corpus Christi, TX 78412-4940 | 2014-04-23 |
| 1629365820 | Egbert Miranda M.d. P.a. | Internal Medicine | 5934 S Staples St Ste 205, Corpus Christi, TX 78413-3842 | 2011-07-08 |
| 1568788511 | Osvaldo A Brusco Md Pa | Internal Medicine | 5814 Esplanade Dr, Corpus Christi, TX 78414-4173 | 2010-04-15 |
| 1770806895 | L L Buck & J E Cohn Md Pa | Internal Medicine | 1521 S Staples St, Suite 801, Corpus Christi, TX 78404-3150 | 2010-03-03 |
| 1417281205 | Marilyn Upmanyu | Internal Medicine | 1521 S Staples St, Suite 303, Corpus Christi, TX 78404-3150 | 2009-09-25 |
| 1437483229 | Upmanyu Assoc | Internal Medicine | 1521 S Staples St, Suite 303, Corpus Christi, TX 78404-3150 | 2009-09-25 |
| 1437208634 | Melissa Ann Wilson | Internal Medicine | 4609 S Padre Island Dr, Corpus Christi, TX 78411-4413 | 2007-01-09 |
| 1306806757 | Jennifer M Amaral Ramos | Internal Medicine | 5920 Saratoga Blvd, Ste 300, Corpus Christi, TX 78414-4106 | 2006-03-27 |
| Find all providers in CORPUS CHRISTI | ||||
| City | CORPUS CHRISTI |
| Zip Code | 78413 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.