Micheaux, Mandy Moreno

Micheaux, Mandy Moreno is an individual health care provider with primary practice located at 321 N Highland Ave Ste 200 , Sherman TX 75092-7371. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Physician Assistants & Advanced Practice Nursing Providers / Medical. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Micheaux, Mandy Moreno can be contacted via phone (903) 893-5141.

Contact Information

Primary practice address
321 N Highland Ave Ste 200 Sherman TX 75092-7371
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X PA04403 Texas
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA04403 Texas

Profile Details

NPI number 1881741346
LBN Legal business name Micheaux, Mandy Moreno
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2007
Last updated Nov 7th, 2022 - about 3 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 1881741346 NPPES
Texas Other 1881741346 NPI

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