MANDIE LEE DYKSTRA (NPI# 1689615536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689615536 |
| Entity Type | Individual |
| Full Name | MANDIE LEE DYKSTRA |
| Credential | M.D. |
| Practice Address |
1920 E Griffin Pkwy Mission TX 78572-3106 |
| Mailing Address |
1940 Venturi Dr Harlingen TX 78552-8931 |
| Practice Telephone | 9565843353 |
| Practice Fax Number | 9565843253 |
| Mailing Telephone | 9568733769 |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | M2311 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
1920 E GRIFFIN PKWY |
| City | MISSION |
| State | TX |
| Zip Code | 78572-3106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124679246 | Ashley Danielle Rutledge | Nurse Practitioner | 1920 E Griffin Pkwy, Mission, TX 78572-3106 | 2019-09-20 |
| 1649756248 | Nallely Lozano | Nurse Practitioner | 1920 E Griffin Pkwy, Mission, TX 78572-3106 | 2018-07-17 |
| 1083102768 | Jose Angel Martinez Jr. | Physician Assistant | 1920 E Griffin Pkwy, Mission, TX 78572-3106 | 2018-04-27 |
| 1790200368 | Erica Marie Robles | Nurse Practitioner | 1920 E Griffin Pkwy, Mission, TX 78572-3106 | 2017-08-04 |
| 1497281638 | Family Health Center of Mission | Nurse Practitioner | 1920 E Griffin Pkwy, Mission, TX 78572-3106 | 2017-05-09 |
| 1477901288 | Family Health Center of Mission, Pllc | Family Medicine | 1920 E Griffin Pkwy, Mission, TX 78572-3106 | 2016-06-02 |
| 1902294572 | Joshua Lucas | Physician Assistant | 1920 E Griffin Pkwy, Mission, TX 78572-3106 | 2015-01-05 |
| 1003214859 | Johnson & Havener Medical Services, Pa | Physician Assistant | 1920 E Griffin Pkwy, Mission, TX 78572-3106 | 2014-12-10 |
| 1639496177 | Daniel Roel Contreras | Family Medicine | 1920 E Griffin Pkwy, Mission, TX 78572-3106 | 2010-04-23 |
| 1841432762 | Linda Jo Ruiz | Family Medicine | 1920 E Griffin Pkwy, Mission, TX 78572 | 2009-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528676814 | Trinity Hospice Care, LLC. | Physical Therapist | 1713 W Griffin Pkwy., Ste. D, Mission, TX 78572 | 2020-07-22 |
| 1710528187 | Te Cuidamos, LLC | Home Health | 2205 N Inspiration Rd, Ste A, Mission, TX 78572 | 2019-10-07 |
| 1356806475 | Severo Esteban Saenz | Physical Therapist | 816 Travis St Apt E55, Mission, TX 78572 | 2019-02-02 |
| 1609352715 | Community First Home Health | Home Health | 1707 Merlin, Mission, TX 78572 | 2018-07-12 |
| 1831681279 | Yuriko Garcia | Physician Assistant | 910 S. Bryan Rd., Suite #105, Mission, TX 78572 | 2018-06-01 |
| 1982193918 | Dalinda Valdez | Registered Nurse | 1707 Merlin Dr, Mission, TX 78572 | 2018-05-04 |
| 1487152260 | Azul Homecare, LLC. | Technician | 2007 East Griffin Parkway, Ste. C, Mission, TX 78572 | 2018-01-26 |
| 1760998371 | J Bravo Medical Services | Clinic/Center | 2001 W 3 Mile Line Rd, 2400 & 2500, Mission, TX 78572 | 2017-12-18 |
| 1821528654 | Bit Na Lee | Dentist | 213 E Expy 83, Mission, TX 78572 | 2017-06-14 |
| 1568901957 | Ofelia Perez Hernandez Dds Pllc | Dentist | 8360 W. Expy 83, Mission, TX 78572 | 2017-02-17 |
| Find all providers in zip 78572 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922637560 | Fenold Byron | Family Medicine | 900 Travis St Apt 35, Mission, TX 78572-6663 | 2020-04-06 |
| 1154976900 | Jonathan Pierre-louis | Family Medicine | 2310 E Interstate Highway 2 Ste 3, Mission, TX 78572-2104 | 2019-08-08 |
| 1093258170 | Luis Alberto Mata, Pllc | Family Medicine | 2118 E Griffin Pkwy, Mission, TX 78572-3225 | 2016-11-22 |
| 1326401167 | Fernando Luna Fnp-bc, Pllc | Family Medicine | 907 W 26th St, Mission, TX 78574-7615 | 2016-03-30 |
| 1497131015 | Ali and Husain Md,pa | Family Medicine | 3003 N. Conway Ave., Mission, TX 78574 | 2015-08-05 |
| 1902285299 | Luis E Ferrufino Md Pllc | Family Medicine | 3406 San Eduardo St, Mission, TX 78572-6494 | 2015-05-20 |
| 1891071106 | Rafael Rafols Md Pa | Family Medicine | 2009 E Griffin Pkwy, Mission, TX 78572-3222 | 2011-10-31 |
| 1174816201 | South Texas Community Medical, LLC | Family Medicine | 102 S Bryan Rd, Mission, TX 78572-6218 | 2011-05-23 |
| 1023315967 | Clinica De Pueblo De Palmas, Inc | Family Medicine | 3204 Mile 5 Rd, Mission, TX 78574-6206 | 2011-02-11 |
| 1245480441 | Sunshine Excellent Care Services Inc. | Family Medicine | 1616 E Griffin Pkwy, Ste127, Mission, TX 78572-3180 | 2008-09-24 |
| Find all providers in MISSION | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.