Search › Texas › 374J00000X
Benetta Mickens
NPI 1790693885 · on the registry since 2026 · sole proprietor
Practice
- Address
- 2037 Spring Lake Rd
Waco, TX 76705 - Phone
- (254) 339-3831
Registry record
- Primary taxonomy
- 374J00000X
374J00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-08-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas