Organization
MEDICAL EDGE HEALTHCARE GROUP PA
Active
Other names
Town East Diagnostic and Therapy Center
Organization subpart
No
Provider details
NPI number
Authorized official
CLAY HEIGHTEN MD (PRESIDENT)
(972) 739-3001
Entity
Organization
Contact information
Practice address
1645 N TOWN EAST BLVD STE 503, MESQUITE, TX 75150-4147
(972) 686-3901
(972) 686-3985
Mailing address
1645 N TOWN EAST BLVD STE 503, MESQUITE, TX 75150-4147
(972) 686-3901
(972) 686-3985
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
07/24/2006
Last updated
07/11/2008
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