| Mission East Dallas And Metroplex Project, Inc. | |
|
4550 Gus Thomasson Rd Suite 40 Mesquite TX 75150 | |
| (972) 682-8917 | |
| (214) 206-3255 |
| Full Name | Mission East Dallas And Metroplex Project, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 4550 Gus Thomasson Rd Suite 40, Mesquite, Texas |
| Authorized Official Name and Position | Charles J. Wiltraut (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9726828917 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mission East Dallas And Metroplex Project, Inc. 4550 Gus Thomasson Rd Ste 40 Mesquite TX 75150-1758 Ph: (972) 682-8917 | Mission East Dallas And Metroplex Project, Inc. 4550 Gus Thomasson Rd Suite 40 Mesquite TX 75150 Ph: (972) 682-8917 |
| NPI Number | 1437483583 |
|---|---|
| Provider Enumeration Date | 09/22/2009 |
| Last Update Date | 08/20/2018 |
| Medicare PECOS PAC ID | 2769529627 |
|---|---|
| Medicare Enrollment ID | O20091026000305 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437483583 | NPI | - | NPPES |
| 283855901 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Ray Hallum Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326367202 PECOS PAC ID: 3678757077 Enrollment ID: I20110408000571 |
Sohail Parekh Internal Medicine & Geriatric Care Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1601 N Belt Line Rd Ste B, Mesquite, TX 75149 Phone: 972-329-3500 Fax: 972-329-3513 | |
Clinica Guadalupe Mesquite Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 N Town East Blvd Ste 102, Mesquite, TX 75150 Phone: 469-709-8017 | |
Infectious Diseases Of Dallas Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 208 W Kearney St, 107, Mesquite, TX 75149 Phone: 972-216-9511 Fax: 972-216-9580 | |
Medical Weight Management & Rehab Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2620 Gus Thomasson Rd Ste 116, Mesquite, TX 75150 Phone: 817-601-9737 | |
Samer Nachawati Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 929 N Galloway Ave Ste 220, Mesquite, TX 75149 Phone: 214-535-7892 | |
American Multispecialty Care Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1601 N Belt Line Rd Ste B, Mesquite, TX 75149 Phone: 972-573-4385 Fax: 972-777-4395 | |
Pradip Kanani Md And Harini Kanani Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2698 N Galloway Ave, Suite # 106, Mesquite, TX 75150 Phone: 972-285-4141 |