Organization
MESQUITE CLINIC MANAGEMENT COMPANY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA FEY (DIRECTOR PHYSICIAN PRACTICE SERVICE)
(615) 221-3641
Entity
Organization
Contact information
Practice address
1301 BERTHA HOWE AVE STE 1, MESQUITE, NV 89027-7503
(702) 346-0800
Mailing address
PO BOX 5009, BRENTWOOD, TN 37024-5009
(615) 221-1400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/08/2020
Last updated
01/08/2020
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