Organization
MESQUITE MEDICAL CLINIC
Active
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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