MEDICARE: MIGNON FIELDS CD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374J00000X	Doula
2	225700000X	Massage Therapist	MT141184	TX

General Provider Information

NPI Number	:	1104673680
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MIGNON FIELDS CD

Provider Business Mailing Address
First Line	:	9701 N SAM HOUSTON PKWY E STE 200
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77396-4636
Country	:	US
Telephone Number	:	832-350-8516
Fax Number	:

Provider Business Practice Location Address
First Line	:	9701 N SAM HOUSTON PKWY E STE 200
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77396-4636
Country	:	US
Telephone Number	:	832-350-8516
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/02/2024
Last Update Date	:	02/12/2026

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Directions to “ MIGNON FIELDS CD” Practice Location

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