Organization
MISSION EAST DALLAS AND METROPLEX PROJECT, INC.
Active
Parent organization
MISSION EAST DALLAS AND METROPLEX PROJECT, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MISSION EAST DALLAS AND METROPLEX PROJECT, INC
Authorized official
CHARLES JOSEPH WILTRAUT (CEO)
(972) 682-8917
Entity
Organization
Contact information
Practice address
341 WHEATFIELD DR STE 190, SUNNYVALE, TX 75182-4639
(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
12/07/2022
Last updated
12/07/2022
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