MLTD Enterprises LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

MLTD ENTERPRISES LLC

Doing business as

Guys & Gals Hormones and Hydration

Practice address

1001 Travis Ranch Blvd
Ste 1
Forney, TX 75126

Phone

(469) 910-1842

NPI assigned

Apr 6, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Micah Duke, APRNNPI 1750952412

Title

Owner/Manager

Phone

(940) 206-5207

Specialties & licenses 7

Addresses

Other names 1

• Guys & Gals Hormones and Hydration Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Micah Wayne Duke, APRN, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Forney, TX
  • NPI 1750952412

  Family

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1680739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1437844461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 E INTERSTATE 30 STE 1074",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750874826",
            "telephone_number": "940-206-5207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 TRAVIS RANCH BLVD",
            "address_2": "STE 1",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "75126",
            "telephone_number": "469-910-1842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MLTD ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-06",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "DUKE",
        "authorized_official_first_name": "MICAH",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "940-206-5207",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "202D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Integrative Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LX0106X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guys & Gals Hormones and Hydration",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Guys & Gals Hormones and Hydration",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Milby, NP
• Christopher Edward Miller, DO
• Jennifer Mink, DDS
• Holly Tabitha Mitchell, MA, LPC
• Shilpi Mittal, M.D.
• Kelly Amaah Mofor, MD
• Adrianna Enid Molina Roman
• Violet Uchechi Momoh, PHARM.D
• Sandra Moon
• Christine W. Moore, FNP

• Family Nurse Practitioner in Forney, TX
• Providers in Forney, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.