Family Medical Clinic Of Mesquite, Pa
LBN: Family Medical Clinic Of Mesquite, Pa
Family Medical Clinic Of Mesquite, Pa is an health care organization with primary practice located at 2540 N Galloway Ave Suite 103, Mesquite TX 75150-6306. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Family Medical Clinic Of Mesquite, Pa can be contacted via phone (972) 279-6595, or through Holliday, Joel D. via phone (972) 279-6595.
Contact Information
Primary practice address
2540 N Galloway Ave Suite 103
Mesquite TX 75150-6306
Phone: (972) 279-6595
Fax: (972) 613-3737
Website:
Authorized official contact:
Name: Holliday, Joel D. Doctor of Osteopathy (DO)
Phone: (972) 279-6595
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | D3614 | Texas |
Profile Details
| NPI number | 1104086966 |
|---|---|
| LBN Legal business name | Family Medical Clinic Of Mesquite, Pa |
| DBA Doing business as | |
| Authorized official | Holliday, Joel D. Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 13th, 2008 |
| Last updated | Nov 13th, 2014 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104086966 | NPPES |
| Texas | MEDICAID | 201526501 | |
| Texas | Other | DP1469 |
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