| Mrs Myra Kim White, ARNP-CNM | |
|
3551 Roger Brooke Dr, San Antonio, TX 78234-4504 | |
| (210) 916-2858 | |
| Not Available |
| Full Name | Mrs Myra Kim White |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 3551 Roger Brooke Dr, San Antonio, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134514870 | NPI | - | NPPES |
| ARNP9371525 | Other | FL | STATE LICENSE |
| 015724500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | ARNP9371525 (Florida) | Secondary |
| 367A00000X | Advanced Practice Midwife | 1049133 (Texas) | Primary |
| Entity Name | Texas Childrens Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861675506 PECOS PAC ID: 4385722081 Enrollment ID: O20080422000209 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Myra Kim White, ARNP-CNM 3551 Roger Brooke Dr, San Antonio, TX 78234-4504 Ph: () - | Mrs Myra Kim White, ARNP-CNM 3551 Roger Brooke Dr, San Antonio, TX 78234-4504 Ph: (210) 916-2858 |
Pamela George, Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 7950 Floyd Curl Dr, Suite 300, San Antonio, TX 78229 Phone: 210-615-6505 Fax: 210-615-1321 | |
Dianna Jean Hagl, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 11730 Bridge Hampton, San Antonio, TX 78251 Phone: 210-416-4929 | |
Alexis Ragsdale, Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 11212 State Highway 151, San Antonio, TX 78251 Phone: 210-557-4233 | |
Tracie Diane Leveridge, Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 5616 Lone Star Pkwy, San Antonio, TX 78253 Phone: 210-281-5066 | |
Jessica B Acosta, Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 5282 Medical Dr Ste 240, San Antonio, TX 78229 Phone: 210-358-8820 | |
Ms. Kristin Nicole Van Winkle, NP Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 4499 Medical Dr Ste 140, San Antonio, TX 78229 Phone: 210-698-0742 Fax: 210-233-9280 | |
Olivia Green, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 8715 Village Dr Ste 305, San Antonio, TX 78217 Phone: 210-226-7827 |