SearchTexasMedical Physician Assistant

Ivan Miranda, PA-C

NPI 1003547670 · on the registry since 2022

Practice

Address
16479 Dallas Pkwy Ste 320
Addison, TX 75001
Phone
(469) 484-4260
Organisation at this address
Kip Queenan Md, Pllc
Genoa Healthcare Llc
Dr Karen E Allen, Od, Inc
Preston Hollow Psychiatry Group, Pllc
Dallas Center For Advanced Depression Treatments
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
Medical Physician Assistant
363AM0700X
Also registered as
Physician Assistant
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-12-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas