Mimi Song Idicula , NP
Nurse Practitioner โข Irving, TX
6161 N State Highway 161
Irving, TX 750382220
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on August 20, 2007; this date does not establish years in practice.
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Published CMS data list 283 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 98977 โ Device supply with scheduled recording and transmission for remote monitoring of musculoskeletal system, per 30 days: 68 service units.
- 98980 โ Remote therapeutic monitoring treatment management services by physician or other qualified health care professional: 63 service units.
- G0447 โ Face-to-face behavioral counseling for obesity: 56 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 5 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 37 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Calcipotriene โ 19 prescription fills, including refills.
- Piroxicam โ 18 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 70% of clinicians listed under Nurse Practitioner in Irving, TX (2024, 12 clinicians with data). Median for this group: 185. Middle half: 92 to 317.
Close to the middle for Medicare Part B services among clinicians listed under Nurse Practitioner in Texas (2024, 1,852 clinicians with data). Median for this group: 219. Middle half: 83 to 548.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 2,870 in 2020 to 283 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
6161 N State Highway 161
Irving, TX 750382220
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Mckinney, TX. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
61 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $14,521 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $13,217 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
39 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$16,331 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $1,407.15 across 99 records.
By nature of payment
- Food and Beverage: $1,407.15 across 99 records.
Reporting-company totals (3 largest of 13)
- Nalu Medical, Inc.: $359.92 across 32 records.
- ABBVIE INC.: $164.62 across 16 records.
- Salix Pharmaceuticals, a division of Bausch Health US, LLC: $161.51 across 8 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
NPI first issued
2007
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Mimi Idicula has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Mimi Idicula as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Irving and Texas
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 70% of clinicians listed under Nurse Practitioner in Irving, TX (2024, 12 clinicians with data). Median for this group: 185. Middle half: 92 to 317.
Close to the middle for clinicians listed under Nurse Practitioner in Texas (2024, 1,852 clinicians with data). Median for this group: 219. Middle half: 83 to 548.
Medicare-allowed amount
Close to the middle for clinicians listed under Nurse Practitioner in Irving, TX (2024, 12 clinicians with data). Median for this group: $13,939. Middle half: $8,364 to $24,551.
Close to the middle for clinicians listed under Nurse Practitioner in Texas (2024, 1,852 clinicians with data). Median for this group: $17,068. Middle half: $6,758 to $39,305.
Paid by Medicare
Close to the middle for clinicians listed under Nurse Practitioner in Irving, TX (2024, 12 clinicians with data). Median for this group: $11,840. Middle half: $4,793 to $17,826.
Close to the middle for clinicians listed under Nurse Practitioner in Texas (2024, 1,852 clinicians with data). Median for this group: $12,638. Middle half: $4,849 to $28,908.
Medicare Part D prescriptions
Fewer Part D prescriptions than 90% of clinicians listed under Nurse Practitioner in Irving, TX (2024, 19 clinicians with data). Median for this group: 141. Middle half: 82 to 418.
Fewer Part D prescriptions than 85% of clinicians listed under Nurse Practitioner in Texas (2024, 2,095 clinicians with data). Median for this group: 274. Middle half: 77 to 1,097.
Part D drug cost
A higher Part D drug cost than 65% of clinicians listed under Nurse Practitioner in Irving, TX (2024, 19 clinicians with data). Median for this group: $3,660. Middle half: $1,126 to $24,143.
Close to the middle for clinicians listed under Nurse Practitioner in Texas (2024, 2,095 clinicians with data). Median for this group: $12,936. Middle half: $998 to $118,416.
34 active clinicians are listed under Nurse Practitioner with a practice address in Irving, TX (4,835 in Texas).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Irving
11.8% of these 34 clinicians have the CMS telehealth indicator.
38.2% of these 34 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 90% from 2,870 in 2020 to 283 in 2024.
- 2020: 2,870
- 2021: 3,599
- 2022: 5,369
- 2023: 609
- 2024: 283
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Medicare-allowed amount
Medicare-allowed amount decreased 79% from $68,278 in 2020 to $14,521 in 2024.
- 2020: $68,278
- 2021: $83,193
- 2022: $118,507
- 2023: $22,337
- 2024: $14,521
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Paid by Medicare
Paid by Medicare decreased 75% from $51,963 in 2020 to $13,217 in 2024.
- 2020: $51,963
- 2021: $64,932
- 2022: $91,604
- 2023: $18,005
- 2024: $13,217
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 56% from 85 in 2023 to 37 in 2024.
- 2023: 85
- 2024: 37
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30-day fills
30-day fills decreased 54% from 85 in 2023 to 39 in 2024.
- 2023: 85
- 2024: 39
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Part D drug cost
Part D drug cost decreased 68% from $50,306 in 2023 to $16,331 in 2024.
- 2023: $50,306
- 2024: $16,331
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $26.31 in 2021 to $1,407.15 in 2025.
- 2021: $26.31
- 2023: $489.43
- 2024: $1,247.72
- 2025: $1,407.15
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): 99 records totaling $1,407.15.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Nalu Medical, Inc. |
Food and Beverage
In-kind items and services
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Nalu Neurostimulation System | General | $36.90 |
| Spinal Simplicity, LLC |
Food and Beverage
In-kind items and services
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HA MINUTEMAN G3-R | General | $35.20 |
| Bioventus LLC |
Food and Beverage
In-kind items and services
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DUROLANE | General | $29.28 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC |
Food and Beverage
In-kind items and services
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RELISTOR | General | $26.82 |
| Bioventus LLC |
Food and Beverage
In-kind items and services
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XCELL | General | $25.63 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC |
Food and Beverage
In-kind items and services
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RELISTOR | General | $25.16 |
| Pfizer Inc. |
Food and Beverage
In-kind items and services
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NURTEC ODT | General | $25.02 |
| Axsome Therapeutics, Inc. |
Food and Beverage
In-kind items and services
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Symbravo | General | $24.90 |
| Axsome Therapeutics, Inc. |
Food and Beverage
In-kind items and services
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Symbravo | General | $24.90 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC |
Food and Beverage
In-kind items and services
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RELISTOR | General | $24.75 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC |
Food and Beverage
In-kind items and services
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RELISTOR | General | $24.08 |
| Azurity Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
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HORIZANT | General | $23.82 |
| Bioventus LLC |
Food and Beverage
In-kind items and services
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DUROLANE | General | $23.46 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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QULIPTA | General | $23.32 |
| Nalu Medical, Inc. |
Food and Beverage
In-kind items and services
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Nalu Neurostimulation System | General | $22.65 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC |
Food and Beverage
In-kind items and services
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RELISTOR | General | $22.59 |
| Nalu Medical, Inc. |
Food and Beverage
In-kind items and services
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Nalu Neurostimulation System | General | $22.45 |
| Tonix Medicines, Inc. |
Food and Beverage
In-kind items and services
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TONMYA | General | $22.15 |
| Axsome Therapeutics, Inc. |
Food and Beverage
In-kind items and services
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Symbravo | General | $22.13 |
| Pfizer Inc. |
Food and Beverage
In-kind items and services
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NURTEC ODT | General | $21.68 |
| Bioventus LLC |
Food and Beverage
In-kind items and services
|
DUROLANE | General | $21.65 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
QULIPTA | General | $21.56 |
| Pfizer Inc. |
Food and Beverage
In-kind items and services
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NURTEC ODT | General | $21.11 |
| Collegium Pharmaceutical, Inc. |
Food and Beverage
Cash or cash equivalent
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XTAMPZA | General | $20.29 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC |
Food and Beverage
In-kind items and services
|
RELISTOR | General | $20.06 |
(top 25 shown)
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2018โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2019โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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98977
Device supply with scheduled recording and transmission for remote monitoring of musculoskeletal system, per 30 days
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68 | 13 | $170.00 | $39.65 |
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98980
Remote therapeutic monitoring treatment management services by physician or other qualified health care professional, first 20 minutes per calendar month
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63 | 11 | $300.00 | $42.42 |
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G0447
Face-to-face behavioral counseling for obesity, 15 minutes
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56 | 16 | $118.00 | $20.60 |
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80307
Testing for presence of drug, by chemistry analyzers
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48 | 36 | $305.00 | $58.65 |
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G0480
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms
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48 | 36 | $560.00 | $107.98 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Calcipotriene | Calcipotriene | 19 | 630 | $6,070.96 | โ |
| Piroxicam | Piroxicam | 18 | 540 | $10,259.61 | โ |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2021-04-15NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
NUCC Taxonomy Code: 111N00000X
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20190628000060
TX
1052459120
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Secondary Practice Locations
1717 W University Dr, #408
Mckinney, TX 75069
Phone: 9725482600
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Family Medicine
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant (Certified)
Family Medicine
Doctor of Osteopathic Medicine (D.O.)
Nurse Practitioner - Family
Family Nurse Practitioner (Board Certified)
General Practice
Physician Assistant (Certified)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 6161 N STATE HIGHWAY 161, IRVING, TX 750382220 (Tel: 9722587499)
Registered at 1717 W UNIVERSITY DR, #408, MCKINNEY, TX 75069 (Tel: 9725482600)
Registered at 6161 N STATE HIGHWAY 161, IRVING, TX 750382220 (Tel: 9722587499)
Registered at 1110 COTTONWOOD LN STE 200, IRVING, TX 75038 (Tel: 9722587499)
Registered at 1110 COTTONWOOD LN STE L100, IRVING, TX 750386101 (Tel: 9722587499)
Recorded as MIMI IDICULA, NP
NPI status registered as active in NPPES database
Registered at 1717 W UNIVERSITY DR, #408, MCKINNEY, TX 750693218 (Tel: 9725482600)
Registered at 1717 W UNIVERSITY DR, #408, MCKINNEY, TX 750693218 (Tel: 9725482600)
Recorded as MIMI SONG, DC
Chiropractor (license number reported to NPPES: TX 10049)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Nurse Practitioners in Irving
All Nurse Practitioners in IrvingMore public profiles in Texas
Directory navigation, in NPI number order.
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- Amber Hoberg, PMHNP-BC Nurse Practitioner - Psychiatric/Mental Health ยท San Antonio
- Alyssa Spiegel, PA Physician Assistant - Medical ยท Dallas
- Jorge Ramirez, MD Urology ยท Laredo
- Annette Williamson, ARNP, FNP Nurse Practitioner - Family ยท Fort Worth
- Ilene Chiu, MD Otolaryngology ยท Fort Worth
- Rhonda Gelbar Physician Assistant ยท Garland
- Janelle Traylor, NP-C Nurse Practitioner ยท Dallas
- Pauline Bui, DO Radiology - Diagnostic Radiology ยท Houston
- William Langmade, MD Internal Medicine ยท Dallas
- Alex Koyfman, MD Emergency Medicine ยท Dallas
- Julie Sprunt, MD Surgery - Surgical Oncology ยท Austin
Mailing Address
6161 N State Highway 161
Irving, TX 750382220
Phone: 9722587499