Organization
MESQUITE MEDICAL & SURGICAL CLINIC P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORI LEA SCOTT (NPI COORDINATOR)
(972) 285-5426
Entity
Organization
Contact information
Practice address
1102 N GALLOWAY AVE, MESQUITE, TX 75149-2436
(972) 285-5426
(972) 329-1433
Mailing address
1102 N GALLOWAY AVE, MESQUITE, TX 75149-2436
(972) 285-5426
(972) 329-1433
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
F9379
TX
Other
Enumeration date
01/11/2007
Last updated
11/18/2010
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