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Active NPI 1003547670 Individual Practitioner Male Practitioner

Ivan Miranda , PA-C

Physician Assistant - Medical • Addison, TX

Professional Overview & Biography Verified Profile Summary

Ivan Miranda, PA-C is a registered healthcare professional specializing in Physician Assistant - Medical in Addison, TX. Practice services are available at 16479 DALLAS PKWY STE 320 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

16479 Dallas Pkwy Ste 320

Addison, TX 750016709

Telephone 4694844260
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Medical in Addison, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.9 Yrs
Regional Practice Density
3 Specialists

Practicing in Addison, TX (2214 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-12-16
Physician Assistant - Medical Primary Specialty

NUCC Taxonomy Code: 363AM0700X

State License TX PA17718

Definition to come...

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License TX PA17718

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Patricia Stevenson , NP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1215881693

Nurse Practitioner

Emily Stanford

Nurse Practitioner - Psychiatric/Mental Health

NPI 1245718303
Dayna Kinney , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1326524018

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Dr. Marty Bennett , MD

Psychiatry & Neurology - Psychiatry

NPI 1487616272

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location March 10, 2024

Registered at 16479 DALLAS PKWY STE 320, ADDISON, TX 750016709 (Tel: 4694844260)

📍
Updated Business Mailing Address March 10, 2024

Registered at 16479 DALLAS PKWY STE 320, ADDISON, TX 750016709 (Tel: 4694844260)

👤
Provider Name / Credentials Updated March 10, 2024

Recorded as IVAN MIRANDA, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 10, 2024

Physician Assistant (License #PA17718 in TX)

NPI Profile Active June 23, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location June 23, 2022

Registered at 1815 W CHAPIN ST UNIT 3312, EDINBURG, TX 785418936 (Tel: 9152356615)

📍
Updated Business Mailing Address June 23, 2022

Registered at 1815 W CHAPIN ST UNIT 3312, EDINBURG, TX 785418936 (Tel: 9152356615)

👤
Provider Name / Credentials Updated June 23, 2022

Recorded as IVAN MIRANDA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 23, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003547670
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 23, 2022
Last Update: December 16, 2025
Sole Proprietor: No

Mailing Address

16479 Dallas Pkwy Ste 320

Addison, TX 750016709

Phone: 4694844260

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.