Organization
MISSION EAST DALLAS AND METROPLEX PROJECT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES JOSEPH WILTRAUT (CEO)
(972) 682-8917
Entity
Organization
Contact information
Practice address
4650 PRESIDENT GEORGE BUSH HWY, SACHSE, TX 75048
(972) 682-8917
Mailing address
4550 GUS THOMASSON RD STE 40, MESQUITE, TX 75150-1758
(972) 682-8917
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
12/01/2022
Last updated
12/01/2022
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