Mrs. Amy Reyes Miclat
Nurse Practitioner - Acute Care
6565 Fannin St
Houston
, Texas 77030-2703
Mrs. Amy Reyes Miclat
Nurse Practitioner - Acute Care
6565 Fannin St
Houston
, Texas 77030-2703
(281) 565-6414
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About
Features
Specialties
- Nurse Practitioner - Acute Care
Languages spoken
- English
Location
First Address
- Mrs. Amy Reyes Miclat
- 6414 Lussier Dr
- Sugar Land, TX
- Zip : 77479-5087
- Phone : (281) 565-6414
Second Address
- Mrs. Amy Reyes Miclat
- 6565 Fannin St
- Houston, TX
- Zip : 77030-2703
- Phone : (713) 441-4999
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2100X | Nurse Practitioner - Acute Care | 513374 | TX |
National Provider Identifier
| NPI | 1013105733 |
|---|---|
| Provider Name | Mrs. Amy Reyes Miclat |
| First Address | Sugar Land, TX 77479-5087 |
| Second Address | Houston, TX 77030-2703 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/10/2007 |
| Last Update Date | 09/08/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1013105733 | BLUE CROSS BLUE SHIED (01) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.