Organization
MESQUITE INTERNAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PIOTR JAKUBOWSKI MD (PRESIDENT)
(972) 613-3700
Entity
Organization
Contact information
Practice address
2379 GUS THOMASSON RD STE 300, MESQUITE, TX 75150-5302
(972) 613-3700
Mailing address
2379 GUS THOMASSON RD STE 300, MESQUITE, TX 75150-5302
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07NH
BCBS OF TEXAS
TX
05
—
181892401
—
TX
Enumeration date
02/10/2007
Last updated
08/26/2014
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