Mimi Song Idicula (NPI# 1003009580, PAC ID# 1052459120) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1003009580 |
| PAC ID by PECOS | 1052459120 |
| Professional Enrollment ID | I20190628000060 |
| Full Name | Mimi Song Idicula |
| Organization Legal Name | HEALTHCARE ASSOCIATES OF IRVING LLP |
| Address |
6161 N Hwy 161 Irving TX 75038-2220 |
| Phone Number | 9722587499 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9335052489 |
| Number of Group Practice Members | 64 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 6161 N Hwy 161, Irving, TX 75038-2220 | 9722587499 | HEALTHCARE ASSOCIATES OF IRVING LLP |
| Organization Legal Name | HEALTHCARE ASSOCIATES OF IRVING LLP |
| Physicians | 58 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Davis William Troy Holt | Nurse Practitioner | Healthcare Associates of Irving LLP | 8700 Us Hwy 380, Suite 200, Crossroads, TX 76227-2660 |
| Mayuri S Patel | Nurse Practitioner | Healthcare Associates of Irving LLP | 1205 Avondale Haslet Rd, Suite 100, Haslet, TX 76052-3579 |
| Florence F Oni | Nurse Practitioner | Healthcare Associates of Irving LLP | 1305 Airport Fwy, Suite 220, Bedford, TX 76021-6606 |
| Britney Tatum Cornett | Physician Assistant | Healthcare Associates of Irving LLP | 6435 S Fm, 549 Suite 100, Heath, TX 75032-6221 |
| Carl Anthony Dear | Physician Assistant | Healthcare Associates of Irving LLP | 546 E Sandy Lake Rd, 210 Healthcare Associates of Coppell, Coppell, TX 75019-5786 |
| Mary H Ward | Family Medicine | Healthcare Associates of Irving LLP | 8080 State Hwy 121, Suite 210, Mckinney, TX 75070-2902 |
| Kimberly Ward | Internal Medicine | Healthcare Associates of Irving LLP | 1001 W Southlake Blvd, Southlake, TX 76092-6010 |
| Abigail L Soto | Physician Assistant | Healthcare Associates of Irving LLP | 546 E Sandy Lake Rd, 210 Healthcare Associates of Coppell, Coppell, TX 75019-5786 |
| Maria N Biard | Family Medicine | Healthcare Associates of Irving LLP | 6161 N Hwy 161, Irving, TX 75038-2220 |
| James M Anderson | Family Medicine | Healthcare Associates of Irving LLP | 6161 N Hwy 161, Irving, TX 75038-2220 |
| Street Address |
6161 N HWY 161 |
| City | IRVING |
| State | TX |
| Zip | 75038-2220 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maria N Biard | Family Medicine | Healthcare Associates of Irving LLP | 6161 N Hwy 161, Irving, TX 75038-2220 |
| James M Anderson | Family Medicine | Healthcare Associates of Irving LLP | 6161 N Hwy 161, Irving, TX 75038-2220 |
| David A Deems | Family Medicine | Healthcare Associates of Irving LLP | 6161 N Hwy 161, Irving, TX 75038-2220 |
| Amanda C Azevedo | Nurse Practitioner | Healthcare Associates of Irving LLP | 6161 N Hwy 161, Irving, TX 75038-2220 |
| Karen Veronica Davidson | Nurse Practitioner | Healthcare Associates of Irving LLP | 6161 N Hwy 161, Irving, TX 75038-2220 |
| Sherif M Rizkallla | Internal Medicine | Healthcare Associates of Irving LLP | 6161 N Hwy 161, Irving, TX 75038-2220 |
| Kristyn Schneider Montgomery | Physician Assistant | Healthcare Associates of Irving LLP | 6161 N Hwy 161, Irving, TX 75038-2220 |
| Terrence M Feehery | Family Medicine | Healthcare Associates of Irving LLP | 6161 N Hwy 161, Irving, TX 75038-2220 |
| Darshna S Chandrasekhara | Obstetrics/gynecology | Unified Womens Healthcare of Texas Pllc | 6161 N Hwy 161, Suite 330, Irving, TX 75038-2220 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shweta N Adya | Family Medicine | Lonestar Wound Care and Hyperbarics LLC | 6161 State Hwy 161, Suite 310, Irving, TX 75038-2220 |
| Jaimi L Stockstill | Nurse Practitioner | Lonestar Wound Care and Hyperbarics LLC | 6161 State Hwy 161, Suite 310, Irving, TX 75038-2220 |
| Maryrose C Obidiaku | Nurse Practitioner | Minuteclinic Diagnostic of Texas LLC | 5500 N Macarthur Blvd, Irving, TX 75038-2603 |
| Quyen Thi T Trinh | Nurse Practitioner | Minuteclinic Diagnostic of Texas LLC | 5500 N Macarthur Blvd, Irving, TX 75038-2603 |
| Debbie L Speegle | Physician Assistant | Minuteclinic Diagnostic of Texas LLC | 5500 N Macarthur Blvd, Irving, TX 75038-2603 |
| Lora Marie White | Nurse Practitioner | Minuteclinic Diagnostic of Texas LLC | 5500 N Macarthur Blvd, Irving, TX 75038-2603 |
| Helen A Amadi | Nurse Practitioner | Minuteclinic Diagnostic of Texas LLC | 5500 N Macarthur Blvd, Irving, TX 75038-2603 |
| Alan J Mosley | Nurse Practitioner | Minuteclinic Diagnostic of Texas LLC | 5500 N Macarthur Blvd, Irving, TX 75038-2603 |
| Saleema A Hirani | Nurse Practitioner | Minuteclinic Diagnostic of Texas LLC | 5500 N Macarthur Blvd, Irving, TX 75038-2603 |
| Anisha P Elackattu | Nurse Practitioner | Minuteclinic Diagnostic of Texas LLC | 5500 N Macarthur Blvd, Irving, TX 75038-2603 |
| Find all physicians in zip 75038 | |||
| City | IRVING |
| Zip Code | 75038 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | IRVING + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Mimi Song Idicula.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.