Organization
MESQUITE WALK IN CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANNA L GOMEZ (ADMINISTRATION)
(972) 222-8001
Entity
Organization
Contact information
Practice address
910 N GALLOWAY AVE STE 102, MESQUITE, TX 75149-2409
(972) 222-8001
(469) 802-6272
Mailing address
910 N GALLOWAY AVE STE 102, MESQUITE, TX 75149-2409
(972) 222-8001
(469) 802-6272
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154746105
NPPES
—
Enumeration date
09/14/2018
Last updated
09/14/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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