SearchTexas225100000X

Lidiore John Miranda

NPI 1184234825 · on the registry since 2020

Practice

Address
610 E Holland Ave
Alpine, TX 79830
Phone
(432) 837-5907
Organisation at this address
Agave Therapy, Llc
Agave Home Health Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-08-07

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