RUSTY MIKOLAS ATP – NPI #1508407966
Technician, Other

A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

RUSTY MIKOLAS is a technician located in HOUSTON, TX. NPPES has assigned the NPI number 1508407966 to RUSTY MIKOLAS on October 07, 2019. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 247200000X from the Health Care Provider Taxonomy code set, which is classified as Technician, Other.

The NPI profile was last updated on May 29, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RUSTY MIKOLAS below.

NPI Profile for
RUSTY MIKOLAS

NPI Number
1508407966
Enumeration Date

(more than 6 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
RUSTY MIKOLAS
Credentials
ATP
Primary location
9494 KIRBY DR
HOUSTON, TX 77054-2521
Phone: (713) 791-9080 Fax: (713) 791-9084
Mailing address
5959 SHALLOWFORD RD STE 443
CHATTANOOGA, TN 37421-2245
Phone: (423) 756-2268 Fax: (423) 362-5413
Sole Proprietor
No
Updated
Certification Date
May 29, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
247200000X
- Technician, Other (Primary)
TX 90894

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.