Mimi Song Idicula
NP | Chiropractor | 8+ years Exp
Medicare Enrolled
6161 N State Highway 161, Irving
Texas, 75038-2220
972-258-7499 972-257-0897
Maps & Directions is a Irving, Texas based chiropractor with
8 years of experience in
General Chiropractic. She completed her graduation from
Other in 2017. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mimi Song Idicula is
AP137449 in Texas.
Mimi Song Idicula is qualified as a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Complete Profile:
Mimi Song Idicula speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | General Chiropractic |
| Credentials: | NP |
| Experience: | 8+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2017 |
| Gender: | Female |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 6161 N State Highway 161, Irving,
Texas, 75038-2220 |
| Phone: | 972-258-7499 |
| Fax: | 972-257-0897 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 1052459120 |
| Enrollment ID: | I20190628000060 |
| NPI Number: | 1003009580 |
| NPI Enumeration Date: | 20 Aug, 2007 |
| NPI Last Update On: | 13 Jul, 2021 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mimi Song Idicula are as mentioned below.
| License Number | Specialization | State | Status | |
| AP137449 | | Texas | Primary | |
| 10049 | General Chiropractic | Texas | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Mimi Song Idicula is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Healthcare Associates Of Irving Pllc (9335052489) | 85 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mimi Song Idicula such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| AP137449 | Other | Texas | NURSE PRACTITIONER |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 6161 N State Highway 161,
Irving, Texas |
| Zip: | 75038-2220 |
| Phone Number: | 972-258-7499 |
| Fax Number: | 972-257-0897 |
Patients can reach Mimi Song Idicula at
6161 N State Highway 161, Irving, Texas or can
call to book an appointment on 972-258-7499.
Comments/ Reviews:
Patients can read all the reviews posted for Mimi Song Idicula below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Mimi Song Idicula. It will help others make informed decisions.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.