| Myrna Cruz Roderick, NURSE PRACTITIONER | |
|
6480 Delaware St, Beaumont, TX 77706-4648 | |
| (409) 813-1677 | |
| (409) 232-0596 |
| Full Name | Myrna Cruz Roderick |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 19 Years |
| Location | 6480 Delaware St, Beaumont, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366703852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 722471 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Diagnostic Group Integrated Healthcare System, Pllc | 1557506383 | 29 |
| Entity Name | Diagnostic Group Integrated Healthcare System, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194061655 PECOS PAC ID: 1557506383 Enrollment ID: O20130328000104 |
| Mailing Address | Practice Location Address |
|---|---|
| Myrna Cruz Roderick, NURSE PRACTITIONER 3406 College St Ste 200, Beaumont, TX 77701-4612 Ph: (409) 813-1677 | Myrna Cruz Roderick, NURSE PRACTITIONER 6480 Delaware St, Beaumont, TX 77706-4648 Ph: (409) 813-1677 |
Ruth Ngindu, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2950 Dowlen Rd, Beaumont, TX 77706 Phone: 866-389-2727 | |
Mrs. Monique Nichole Vannoy, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 810 Hospital Dr Ste 200, Beaumont, TX 77701 Phone: 409-212-5825 | |
Charlotte Stevens Lejune, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2830 Calder St, Beaumont, TX 77702 Phone: 409-236-7171 | |
Dawn Roque, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4347 Phelan Blvd, Beaumont, TX 77707 Phone: 409-767-9285 | |
Mrs. Carley Ann Jaynes, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 755 N 11th St Ste P3950, Beaumont, TX 77702 Phone: 409-892-0099 | |
Ms. Lynda Marie Few, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3560 Delaware St # 601, Beaumont, TX 77706 Phone: 409-924-9666 | |
Jacqueline Nacole Dugas, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 740 Hospital Dr, Suite 300, Beaumont, TX 77701 Phone: 409-212-8111 |