Mandy Moreno Micheaux, PA-C
Psychiatry & Neurology, Neurology in Sherman, TX. Individual provider (NPI-1).
NPI number1881741346
StatusActive
Last updated in NPPESNov 7, 2022
Details
- NPI
- 1881741346
- Entity type
- Individual (NPI-1)
- Name
- Prof. Mandy Moreno Micheaux
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 5, 2007
- Certification date
- Nov 7, 2022
- Last updated
- Nov 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | PA04403 | TX | Yes |
| 363AM0700X | Physician Assistant, Medical | PA04403 | TX |
Practice location
321 N Highland Ave Ste 200Sherman, TX 75092-7371
Phone 903-893-5141
Mailing address
321 N Highland Ave Ste 200Sherman, TX 75092-7371
Phone 903-893-5141
Other practice locations
2609 Sagebrush Dr Ste 101
Flower Mound, TX 75028-4670
Flower Mound, TX 75028-4670
Phone 972-539-4875
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