Clinica Guadalupe Mesquite Llc | |
1100 N Town East Blvd Ste 102 Mesquite TX 75150-4679 | |
(469) 709-8017 | |
Not Available |
Full Name | Clinica Guadalupe Mesquite Llc |
---|---|
Speciality | Family Medicine |
Location | 1100 N Town East Blvd Ste 102, Mesquite, Texas |
Authorized Official Name and Position | Cindy Olalde (OFFICER) |
Authorized Official Contact | 2142401506 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Clinica Guadalupe Mesquite Llc 14951 Dallas Pkwy Ste 190 Dallas TX 75254-6894 Ph: () - | Clinica Guadalupe Mesquite Llc 1100 N Town East Blvd Ste 102 Mesquite TX 75150-4679 Ph: (469) 709-8017 |
NPI Number | 1013603745 |
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Provider Enumeration Date | 04/14/2023 |
Last Update Date | 04/14/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013603745 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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