Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Antonio Miranda, PHD, RD, LD, CDCES

Individual provider Registered Dietitian · NPI 1861955254

Antonio Miranda, PHD, RD, LD, CDCES is a Registered Dietitian in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2019.

Licensed in
TX
In the registry since
2019
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
RD — Registered Dietitian
A credentialed nutrition professional.
LD — Licensed Dietitian
A dietitian licensed by a state board.

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Practice location Address checks out

11801 S Fwy
Fort Worth, TX 76115
Phone: (817) 551-2706
Fax: (817) 551-2570
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence DT85363 (TX)

Record details

NPI number1861955254
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD , RD , LD , CDCES
Sole proprietorNo
NPI enumeratedApril 11, 2019
Last updated in NPPESApril 26, 2023
Certification dateApril 19, 2023
Mailing address6245 Rufe Snow Drive, Ste 280, Unit 540, Fort Worth, TX 76148

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