Organization
PRIME HEALTHCARE SERVICES MESQUITE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PREM REDDY (CHAIRMAN/PRESIDENT)
(909) 235-4400
Entity
Organization
Contact information
Practice address
1011 N GALLOWAY AVE, MESQUITE, TX 75149-2433
(214) 320-7000
Mailing address
1011 N GALLOWAY AVE, MESQUITE, TX 75149-2433
(214) 320-7000
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
01/13/2015
Last updated
06/05/2024
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