| Jackie Minyard, | |
|
2055 W Grande Blvd, Tyler, TX 75703-0526 | |
| (903) 534-0449 | |
| Not Available |
| Full Name | Jackie Minyard |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 2055 W Grande Blvd, Tyler, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639919780 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Provider Name | Synergy Care Southeast, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1427466614 PECOS PAC ID: 6204079163 Enrollment ID: O20141017000587 |
| Mailing Address | Practice Location Address |
|---|---|
| Jackie Minyard, 2051 W Cumberland Rd Apt 906, Tyler, TX 75703-7856 Ph: () - | Jackie Minyard, 2055 W Grande Blvd, Tyler, TX 75703-0526 Ph: (903) 534-0449 |
Ashia Perez, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 9846 Hwy 31 E, Tyler, TX 75705 Phone: 903-525-3801 Fax: 903-525-3858 | |
Kalee Owens, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 921 Shiloh Rd Ste C120, Tyler, TX 75703 Phone: 903-939-2800 Fax: 866-386-4531 | |
Dr. Tina Melamed Jaremko, PHD, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3310 S Broadway Ave Ste 100, Tyler, TX 75701 Phone: 903-781-1832 | |
Lauren Meeker, M.S., SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3110 Park Center Dr, Tyler, TX 75701 Phone: 903-593-9999 | |
Kelsey Leigh Dominy, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 401 E Front St Ste 123, Tyler, TX 75702 Phone: 903-531-2581 | |
Kathryn Sue Campbell, M.S., CF/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1600 Rice Rd Apt 1421, Tyler, TX 75703 Phone: 903-393-3472 | |
Selma Herrera, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 9846 Hwy 31 E, Tyler, TX 75705 Phone: 903-525-3714 |