Mia Nickerson, MD | |
5750 Rufe Snow Dr, North Richland Hills, TX 76180-6163 | |
(682) 207-7233 | |
Not Available |
Full Name | Mia Nickerson |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 5750 Rufe Snow Dr, North Richland Hills, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073184636 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (Texas) | Primary |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220525002138 |
Mailing Address | Practice Location Address |
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Mia Nickerson, MD 9264 Silver Dollar Dr, Fort Worth, TX 76131-1922 Ph: (951) 640-9068 | Mia Nickerson, MD 5750 Rufe Snow Dr, North Richland Hills, TX 76180-6163 Ph: (682) 207-7233 |
Hallie Brinson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6344 Davis Blvd Ste 300a, North Richland Hills, TX 76180 Phone: 817-701-0663 | |
Lauren M Robertson, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 5750 Rufe Snow Dr Ste 150a, North Richland Hills, TX 76180 Phone: 682-373-8473 | |
Dr. Elizabeth Gayle Allen, PH.D., LPC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 8408 Davis Blvd Ste 240, North Richland Hills, TX 76182 Phone: 817-765-5664 Fax: 678-880-1788 | |
Allison Mcneil, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5424 Rufe Snow Dr Ste 508, North Richland Hills, TX 76180 Phone: 817-479-3105 | |
Sarah Ziske, LPC ASSOCIATE Counselor Medicare: Not Enrolled in Medicare Practice Location: 8205 Mid Cities Blvd Ste 300, North Richland Hills, TX 76182 Phone: 817-701-0663 | |
Marilin R Jakubowske, SOCIAL WORKER Counselor Medicare: Not Enrolled in Medicare Practice Location: 5424 Rufe Snow Dr Ste 200, North Richland Hills, TX 76180 Phone: 254-289-2285 Fax: 682-593-3936 |