Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Ivan Miranda, PA-C

Individual provider Medical Physician Assistant · NPI 1003547670

Mr. Ivan Miranda, PA-C is a Medical Physician Assistant in Addison, Texas. Licensed in Texas. Registered with an NPI since 2022.

Licensed in
TX
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

16479 Dallas Pkwy Ste 320
Addison, TX 75001-6709
Phone: (469) 484-4260
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA17718 (TX)
Physician Assistant Taxonomy 363A00000X · Licence PA17718 (TX)

Record details

NPI number1003547670
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 23, 2022
Last updated in NPPESDecember 16, 2025
Certification dateDecember 16, 2025
Mailing address16479 Dallas Pkwy Ste 320, Addison, TX 75001-6709

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