| Mesquite Medical & Surgical Clinic P.a. | |
|
1102 N Galloway Ave Mesquite TX 75149-2436 | |
| (972) 285-5426 | |
| (972) 329-1433 |
| Full Name | Mesquite Medical & Surgical Clinic P.a. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1102 N Galloway Ave, Mesquite, Texas |
| Authorized Official Name and Position | Lori Lea Scott (NPI COORDINATOR) |
| Authorized Official Contact | 9722855426 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mesquite Medical & Surgical Clinic P.a. 1102 N Galloway Ave Mesquite TX 75149-2436 Ph: (972) 285-5426 | Mesquite Medical & Surgical Clinic P.a. 1102 N Galloway Ave Mesquite TX 75149-2436 Ph: (972) 285-5426 |
| NPI Number | 1629128731 |
|---|---|
| Provider Enumeration Date | 01/11/2007 |
| Last Update Date | 11/18/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629128731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | F9379 (Texas) | Primary |
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