Organization · Type 2 NPI

Mesquite Medical Group, LLC

Clinic/Center · Mesquite, TX

NPI number 1134429509 Active

Practice location

5115 N Galloway Ave Ste 203
Mesquite, TX 75150-7535

Fax (214) 660-8634

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000XN0064 (TX)
Clinic/Center 261Q00000XN0064 (TX)
Clinic/Center Primary 261Q00000XNone listed
Physician Assistant 363A00000XPA06380 (TX)
Physician Assistant 363A00000XPA06308 (TX)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

2 other providers at this address

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About NPI 1134429509

Mesquite Medical Group, LLC's National Provider Identifier is 1134429509, issued on Nov 1, 2010. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Mesquite, TX. The record was last updated on May 9, 2022.