Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mimi Song Idicula, NP

Individual provider Chiropractor · NPI 1003009580

Mimi Song Idicula, NP is a Chiropractor in Irving, Texas. Works from 2 locations. Licensed in Texas.

Licensed in
TX
In the registry since
2007
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

6161 N State Highway 161
Irving, TX 75038-2220
Phone: (972) 258-7499
Fax: (972) 257-0897
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1717 W University Dr, McKinney, TX 75069 — (972) 548-2600

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence AP137449 (TX)
Chiropractor Taxonomy 111N00000X · Licence 10049 (TX)

Record details

NPI number1003009580
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedAugust 20, 2007
Last updated in NPPESJuly 13, 2021
Certification dateApril 15, 2021

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