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Individual
DR. TINA MICHELLE INGRAM
Active
Individual
DR. TINA MICHELLE INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC, FNP-C, DIPL.AC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
6598
TX
363LF0000X
Family Nurse Practitioner
Primary
1012507
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
87391Y
BCBS
TX
Enumeration date
10/02/2006
Last updated
07/12/2023
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