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:
Health care specialties
| Specialty | Code | License # | 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 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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