Eneida Fortes Miranda, DO | |
1400 N Coit Rd Ste 302, Mckinney, TX 75071-6656 | |
(917) 634-5311 | |
(888) 815-3583 |
Full Name | Eneida Fortes Miranda |
---|---|
Gender | Female |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1400 N Coit Rd Ste 302, Mckinney, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598293284 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 303363-01 (New York) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | T6972 (Texas) | Primary |
Entity Name | Downtown Bronx Medical Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689618407 PECOS PAC ID: 9638082746 Enrollment ID: O20031106000016 |
Entity Name | Mccd Psychiatry Services Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033750823 PECOS PAC ID: 4082049036 Enrollment ID: O20200121001374 |
Mailing Address | Practice Location Address |
---|---|
Eneida Fortes Miranda, DO 707 E Main St, Middletown, NY 10940-2650 Ph: (845) 333-7373 | Eneida Fortes Miranda, DO 1400 N Coit Rd Ste 302, Mckinney, TX 75071-6656 Ph: (917) 634-5311 |
Troy Simon Grantham, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1400 N Coit Rd Ste 302, Mckinney, TX 75071 Phone: 833-351-8255 | |
Abigail Dunn, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1400 N Coit Rd Ste 302, Mckinney, TX 75071 Phone: 833-351-8255 | |
Elise Griffin, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2750 Virginia Pkwy Ste 108, Mckinney, TX 75071 Phone: 972-542-8144 Fax: 972-548-9891 | |
Dr. Praveen Moolamalla, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1575 Heritage Drive, Suite 203, Mckinney, TX 75069 Phone: 214-856-4483 Fax: 214-856-4487 | |
Mallory Antoinette Jacobs, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1400 N Coit Rd Ste 302, Mckinney, TX 75071 Phone: 917-634-5311 | |
Asim A Farooqui, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1515 Heritage Dr, Mckinney, TX 75069 Phone: 972-422-5939 | |
Mrs. Fazila Siddiqi, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2300 W White Ave, 101, Mckinney, TX 75071 Phone: 214-491-1618 Fax: 214-544-3847 |