| Tiffany Izoba, | |
|
13803 Madera Run Pkwy, Humble, TX 77346-5363 | |
| (281) 724-7980 | |
| Not Available |
| Full Name | Tiffany Izoba |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 16 Years |
| Location | 13803 Madera Run Pkwy, Humble, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811795180 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 1191744 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern Magnolia Management Llc | 7810391984 | 19 |
| Entity Name | Southern Magnolia Management LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346866845 PECOS PAC ID: 7810391984 Enrollment ID: O20210811002623 |
| Mailing Address | Practice Location Address |
|---|---|
| Tiffany Izoba, Po Box 422, Humble, TX 77347-0422 Ph: (318) 344-6943 | Tiffany Izoba, 13803 Madera Run Pkwy, Humble, TX 77346-5363 Ph: (281) 724-7980 |
Tyler Walker, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1806 Humble Place Dr, Humble, TX 77338 Phone: 281-369-9514 |
Monica S Jackson, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 93 Isaacks Rd, Humble, TX 77338 Phone: 281-446-7159 |
Kimbria Nicole Blunt, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17904 W Lake Houston Pkwy Ste 703, Humble, TX 77346 Phone: 281-346-7752 Fax: 866-263-0972 |
Michael Chen, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18838 S Memorial Dr Ste 106, Humble, TX 77338 Phone: 713-338-6422 |
Amanda Graff, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 22999 Hwy 59 N, Humble, TX 77339 Phone: 281-348-8000 |
Ruth W Nginyi, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17202 Spirit Falls Ct, Humble, TX 77346 Phone: 832-896-2836 |
Kacy Hincapie, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18835 Mckay Dr, Humble, TX 77338 Phone: 832-644-8930 |