Tyra Mickey, FNP-C | |
3845 Southwest Fwy, Houston, TX 77027-7515 | |
(832) 219-8302 | |
Not Available |
Full Name | Tyra Mickey |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 3845 Southwest Fwy, Houston, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497369052 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 213652 (Louisiana) | Secondary |
363LF0000X | Nurse Practitioner - Family | 1123046 (Texas) | Primary |
Entity Name | Minuteclinic Diagnostic Of Louisiana, L.l.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285975482 PECOS PAC ID: 7618106477 Enrollment ID: O20140128000722 |
Mailing Address | Practice Location Address |
---|---|
Tyra Mickey, FNP-C 1101 Medical Center Blvd, Marrero, LA 70072-3147 Ph: (504) 347-5511 | Tyra Mickey, FNP-C 3845 Southwest Fwy, Houston, TX 77027-7515 Ph: (832) 219-8302 |
Mrs. Judie Ellen Franks, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12606 West Houston Center Blvd., Suite #110, Houston, TX 77082 Phone: 281-558-3376 Fax: 281-558-0544 | |
Janet L Attisha, RN, ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6560 Fannin St, Ste 1260, Houston, TX 77030 Phone: 713-797-0466 Fax: 713-797-0451 | |
Miss Jennifer Elaine Roemer, CPNP-AC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6621 Fannin St, Mc 3-3320, Houston, TX 77030 Phone: 832-822-1539 Fax: 832-825-1530 | |
Kimberly Fugman Byrum, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13802 Centerfield Rd, Suite 300, Houston, TX 77070 Phone: 281-737-0999 Fax: 281-737-0926 | |
Megan J Tanner, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1515 Holcombe Blvd, Houston, TX 77030 Phone: 713-792-6161 | |
Angela Hill, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6621 Fannin St # Mca4480, Houston, TX 77030 Phone: 832-824-1000 | |
Jordan L Hall, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1515 Holcombe Blvd, Houston, TX 77030 Phone: 713-792-6161 |