Myrna Roderick is one of 280 nurse practitioners practicing in Beaumont, Texas .
Myrna Roderick practices with Diagnostic Group Integrated Healthcare System, PLLC.
Registry record (NPPES)
NPI
1366703852
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner, Family · 363LF0000X
Address on file
6480 Delaware St
Enumerated
May 31, 2012
Record last updated
Jun 11, 2024
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
6480 Delaware St Dg Wellness Center BeaumontBeaumont , TX 77706
More nurse practitioners in Beaumont
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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