Organization
ESTRADA MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERTO E ESTRADA MD (DOCTOR)
(469) 951-0287
Entity
Organization
Contact information
Practice address
910 N GALLOWAY AVE, SUITE 101, MESQUITE, TX 75149-2409
(972) 222-8000
(972) 329-0042
Mailing address
620 N COIT RD, SUITE 2150, RICHARDSON, TX 75080-5436
(972) 664-0676
(972) 664-0677
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
H0131
TX
208000000X
Pediatrics Physician
Primary
L4927
TX
363L00000X
Nurse Practitioner
457401
TX
Other
Enumeration date
02/27/2014
Last updated
02/27/2014
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