Organization
MESQUITE HEART CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SALEEM H MALLICK M.D. (PRESIDENT)
(972) 279-3500
Entity
Organization
Contact information
Practice address
1601 N. BELT LINE RD., SUITE C, MESQUITE, TX 75149-1791
(972) 279-3500
(972) 279-3505
Mailing address
PO BOX 850347, MESQUITE, TX 75185-0347
(972) 279-3500
(972) 279-3505
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
E6487
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0086EB
BCBS
TX
05
—
109366803
—
TX
Enumeration date
04/21/2006
Last updated
04/17/2013
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