Bush, Mickey Vernell

Bush, Mickey Vernell is an individual health care provider with primary practice located at 3424 Fm 1092 Rd Ste 220, Missouri City TX 77459-2285. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bush, Mickey Vernell can be contacted via phone (281) 208-3322.

Contact Information

Primary practice address
3424 Fm 1092 Rd Ste 220 Missouri City TX 77459-2285
Phone: (281) 208-3322
Fax: (281) 208-3393
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X F3800 Texas

Profile Details

NPI number 1780678698
LBN Legal business name Bush, Mickey Vernell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Aug 16th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780678698 NPPES
Texas Other 1780678698 BLUE CROSS BLUE SHIELD
Texas Other P00936712 BLUE CROSS BLUE SHIELD
Texas Other P00941074 BLUE CROSS BLUE SHIELD

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