Organization
MEDICAL EDGE HEALTHCARE GROUP PA
Active
Other names
Town East Mammography
Organization subpart
No
Provider details
NPI number
Authorized official
CLAY HEIGHTEN MD (PRESIDENT)
(972) 739-3001
Entity
Organization
Contact information
Practice address
1645 N TOWN EAST BLVD STE 503, MESQUITE, TX 75150-4147
(972) 686-3901
(972) 686-3985
Mailing address
1645 N TOWN EAST BLVD STE 503, MESQUITE, TX 75150-4147
(972) 686-3901
(972) 686-3985
Taxonomy
Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081500315
—
TX
Enumeration date
12/12/2006
Last updated
09/09/2008
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