Miracle Medical Management Inc.

NPI #1578148078 in Cypress, Texas

Provider Information

NPI Number: 1578148078
Entity Type: Organization
Organization Name: Miracle Medical Management Inc.
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: Mar 16, 2021
Last Updated: Jun 7, 2021

Practice Location

Address: 20127 IVORY VALLEY LN
City: Cypress
State: Texas
ZIP Code: 77433-0030
Phone: (832) 812-9598

Authorized Official

Name: BARBARA YADIRA ORTIZ GONZALEZ, FNP-C
Title: CEO
Phone: (832) 812-9598

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X
Clinic/Center - Health Service — Health Service	261QH0100X
Clinic/Center - Urgent Care — Urgent Care	261QU0200X
Clinical Nurse Specialist	364S00000X
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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