Mica Renee Choate
Individual provider Active NPI Registered Nurse · Cooper, TX
NPI 1710652102 · NPPES record last updated Aug 9, 2021
Key facts
- NPI
- 1710652102
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 840554 (TX)
- Practice address
- 2960 FM 895
Cooper, TX 75432-6892 - Phone
- (903) 456-5648
- NPI assigned
- Aug 9, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 840554 | TX | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 840554 | TX | Yes |
Addresses
Primary practice location
2960 FM 895
Cooper, TX 75432-6892
Mailing address
2960 FM 895
Cooper, TX 75432-6892
Phone (903) 456-5648
Other providers in Cooper, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.