Individual provider · Type 1 NPI

Misty M. Bridges, OM

Specialist · Tyler, TX

NPI number 1093032880 Active

Practice location

106 E Heritage Dr Ste 5E
Tyler, TX 75703-5112

Call (903) 245-8667 Map

Fax (903) 595-4639

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X7882 (TX)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1093032880

Misty M. Bridges, OM's National Provider Identifier is 1093032880, issued on May 3, 2010. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Tyler, TX. The record was last updated on May 3, 2010.