# MEDICAL EDGE HEALTHCARE GROUP PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Town East Diagnostic and Therapy Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699797142
- **Authorized official:** CLAY HEIGHTEN MD (PRESIDENT)
- **Authorized official phone:** (972) 739-3001

## Contact information

- **Practice address:** 1645 N TOWN EAST BLVD STE 503, MESQUITE, TX 75150-4147
- **Practice address phone:** (972) 686-3901
- **Practice address fax:** (972) 686-3985
- **Mailing address:** 1645 N TOWN EAST BLVD STE 503, MESQUITE, TX 75150-4147
- **Mailing address phone:** (972) 686-3901
- **Mailing address fax:** (972) 686-3985

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | — | NULL | Yes |

## Other

- **Enumeration date:** 07/24/2006
- **Last updated:** 07/11/2008