Individual provider · NPI-1

Mykala Bearden, PA

Physician Assistant · Bryan, TX

NPI number1740994334
StatusActive
Last updated in NPPESFeb 9, 2024

Details

NPI
1740994334
Entity type
Individual (NPI-1)
Name
Mykala Bearden
Credential
PA
Sex
Female
Sole proprietor
No
Enumeration date
Jan 9, 2023
Certification date
Feb 9, 2024
Last updated
Feb 9, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician AssistantPA16474TXYes

Practice location

2801 Franciscan Dr
Bryan, TX 77802-2544

Phone 979-776-3777

Mailing address

29726 Spring Forest Dr
Spring, TX 77386-2120

Other practice locations

1604 Rock Prairie Rd
College Station, TX 77845-8343

Phone 979-764-5100

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