MIKIEL MEDICAL MALL, PLLC (NPI# 1083245815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083245815 |
| Entity Type | Organization |
| Organization Name | MIKIEL MEDICAL MALL, PLLC |
| Practice Address |
3347 S 2nd St Abilene TX 79605-1760 |
| Practice Telephone | 3252083274 |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2020-05-28 |
| Authorized Official Name | DR. INDIRA MIKIEL (OWNER) |
| Authorized Official Telephone | 3252083274 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
3347 S 2ND ST |
| City | ABILENE |
| State | TX |
| Zip Code | 79605-1760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003440389 | James Mccoy's Midtown Drug Store, Inc | Pharmacy | 1417 S Willis, Abilene, TX 79605 | 2020-02-26 |
| 1457694820 | Texas Neurology Clinic PC | Counselor | 4755 Hartford, Abilene, TX 79605 | 2013-04-03 |
| 1750656328 | Victor Lee Orthodontics Pllc | Dentist | 2209 S, Danville, Abilene, TX 79605 | 2012-03-15 |
| 1184902868 | Traci Jean King | Dentist | 2381 South 32nd St, Abilene, TX 79605 | 2011-07-28 |
| 1306143706 | Sara Aalyce Snowden | Physical Therapist | 4601 Hartford Street, Abilene, TX 79605 | 2011-02-21 |
| 1679735450 | Comprehensive Psychological Services, Ltd. | Psychologist | 5320 Lamesa Ave, Abilene, TX 79605 | 2008-07-02 |
| 1568652907 | Mary Ann Jones | Counselor | 1290 S. Willis St., Suite 117, Abilene, TX 79605 | 2007-08-01 |
| 1548389299 | Jillian Svend Koslan | Speech-Language Pathologist | Southwest Therapy Associates, 3233 South Willis Street, Abilene, TX 79605 | 2007-03-27 |
| 1245362532 | Brenda D Mcdonald | Custodial Care Facility | 714 S San Jose, Abilene, TX 79605 | 2007-03-12 |
| 1629124680 | Peggy Gene Martin | Counselor | 1290 S Willis, Ste 1221, Abilene, TX 79605 | 2007-01-25 |
| Find all providers in zip 79605 | ||||
| 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 |
|---|---|---|---|---|
| 1730796566 | Tabitha Callaway | Family Medicine | 14 High Life Cir, Abilene, TX 79606-3440 | 2020-09-25 |
| 1760953574 | Restore Wellness Primary Care, Pllc | Family Medicine | 4601 Buffalo Gap Rd Ste C1, Abilene, TX 79606-3363 | 2018-12-06 |
| 1679925127 | Tania Marie Oyola Rosario | Family Medicine | 6300 Regional Plz Ste 260, Abilene, TX 79606 | 2016-07-08 |
| 1740609593 | Oyewole Jacob Olanrewaju | Family Medicine | 1150 N 18th St Ste 300, Abilene, TX 79601-2931 | 2014-04-09 |
| 1457608853 | Ashley Adames | Family Medicine | 1850 Hickory St Ste 101, Abilene, TX 79601 | 2012-08-06 |
| 1992935456 | Henry Mbah Chick Fosah | Family Medicine | 1210 N 18th St, Abilene, TX 79601-2933 | 2009-07-18 |
| 1659528479 | Armc Lp | Family Medicine | 6250 Hwy 83 / 84, Abilene, TX 79606-5215 | 2008-08-22 |
| 1902067408 | David C Belcher | Family Medicine | 100 Chestnut St Ste 101, Abilene, TX 79602-1440 | 2008-06-18 |
| 1114111580 | Stanly T Selby, M.d. | Family Medicine | 1115 Industrial Blvd, Abilene, TX 79602-7929 | 2007-08-29 |
| 1437379385 | Portland Family Medicine LLP | Family Medicine | 1749 Lytle Shores Dr, Abilene, TX 79602-5206 | 2007-04-25 |
| Find all providers in ABILENE | ||||
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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.