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Mayra Koedam is one of 1,162 nurse practitioners practicing in Austin, Texas .
Mayra Koedam practices with Brightside Medical PC.
Registry record (NPPES)
NPI
1346695178
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner, Family · 363LF0000X
Address on file
8160 Walnut Hill Ln Ste 306 Dallas, TX 75231-4391 (214) 345-8060
Enumerated
Apr 29, 2016
Record last updated
Jul 21, 2022
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXNurse Practitioner
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
Austin , TX 78731
(415) 360-3348
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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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