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
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