| Mission East Dallas And Metroplex Project, Inc. | |
|
341 Wheatfield Dr Ste 190 Sunnyvale TX 75182-4639 | |
| (972) 682-8917 | |
| Not Available |
| Full Name | Mission East Dallas And Metroplex Project, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 341 Wheatfield Dr Ste 190, Sunnyvale, Texas |
| Authorized Official Name and Position | Charles Joseph Wiltraut (CEO) |
| Authorized Official Contact | 9726828917 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| 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. 341 Wheatfield Dr Ste 190 Sunnyvale TX 75182-4639 Ph: (972) 682-8917 |
| NPI Number | 1992416259 |
|---|---|
| Provider Enumeration Date | 12/07/2022 |
| Last Update Date | 12/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992416259 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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