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Organization

MESQUITE MEDICAL CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ADEWUMI BAKARE PA-C (OWNER)
(214) 516-1495
Entity
Organization

Contact information

Practice address
5115 N GALLOWAY AVE STE 203, MESQUITE, TX 75150-7535
(214) 660-8554
(214) 660-8634
Mailing address
5115 N GALLOWAY AVE STE 203, MESQUITE, TX 75150-7535
(214) 660-8554
(214) 660-8634

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
261Q00000X
Clinic/Center
Primary
363AM0700X
Medical Physician Assistant

Other

Enumeration date
06/07/2022
Last updated
06/07/2022
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