| Audrey Miao, APRN | |
|
3040 W Camp Wisdom Rd Ste 170, Grand Prairie, TX 75052-4640 | |
| (972) 645-5109 | |
| (512) 782-9316 |
| Full Name | Audrey Miao |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 3040 W Camp Wisdom Rd Ste 170, Grand Prairie, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275330599 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1191559 (Texas) | Primary |
| Entity Name | Total Md Physicians Group, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982031852 PECOS PAC ID: 7012313521 Enrollment ID: O20210909000354 |
| Mailing Address | Practice Location Address |
|---|---|
| Audrey Miao, APRN 3040 W Camp Wisdom Rd Ste 170, Grand Prairie, TX 75052-4640 Ph: (972) 645-5109 | Audrey Miao, APRN 3040 W Camp Wisdom Rd Ste 170, Grand Prairie, TX 75052-4640 Ph: (972) 645-5109 |
Amber Mullins, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4203 S Carrier Pkwy, Grand Prairie, TX 75052 Phone: 972-642-3190 | |
Mrs. Elsie Manuel, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2740 N Hwy 360, Grand Prairie, TX 75050 Phone: 972-606-8300 Fax: 972-606-8597 | |
Joy Ogbimi, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2922 Pegasus Ct, Grand Prairie, TX 75052 Phone: 214-809-0542 | |
Macia Uche Micheal, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2835 Mariposa Dr, Grand Prairie, TX 75054 Phone: 972-400-3900 Fax: 469-224-9190 | |
Akhere Isenalumhe, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3012 Fairview Dr, Grand Prairie, TX 75052 Phone: 972-533-5136 | |
Mrs. Susan Renee Carlson, MSN, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2740 N Hwy 360, Suite 100, Grand Prairie, TX 75050 Phone: 972-606-8300 Fax: 972-606-4940 | |
Michael Owusu Agyemang, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2520 W I 20, Grand Prairie, TX 75052 Phone: 972-264-5858 Fax: 972-264-8800 |