Family Medical Clinic Of Mesquite, Pa | |
2540 N Galloway Ave Suite 103 Mesquite TX 75150-6306 | |
(972) 279-6595 | |
(972) 613-3737 |
Full Name | Family Medical Clinic Of Mesquite, Pa |
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Speciality | Family Medicine |
Location | 2540 N Galloway Ave, Mesquite, Texas |
Authorized Official Name and Position | Joel D. Holliday (OWNER) |
Authorized Official Contact | 9722796595 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Family Medical Clinic Of Mesquite, Pa 2540 N Galloway Ave Suite 103 Mesquite TX 75150-6306 Ph: (972) 279-6595 | Family Medical Clinic Of Mesquite, Pa 2540 N Galloway Ave Suite 103 Mesquite TX 75150-6306 Ph: (972) 279-6595 |
NPI Number | 1104086966 |
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Provider Enumeration Date | 06/13/2008 |
Last Update Date | 11/13/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104086966 | NPI | - | NPPES |
201526501 | Medicaid | TX | |
DP1469 | Other | TX | MEDICARE RAIL ROAD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | D3614 (Texas) | Primary |
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