Town East Mammography

LBN: Medical Edge Healthcare Group Pa
Town East Mammography is an health care organization with primary practice located at 1645 N Town East Blvd Ste 503 , Mesquite TX 75150-4147. The organization recently has only one registered license in Ambulatory Health Care Facilities / Radiology, Mammography, which is considered as the primary health care specialty. Medical Edge Healthcare Group Pa can be contacted via phone (972) 686-3901, or through Heighten, Clay via phone (972) 739-3001.

Contact Information

Primary practice address
1645 N Town East Blvd Ste 503 Mesquite TX 75150-4147
Phone: (972) 686-3901
Fax: (972) 686-3985
Website:
Map and Directions
Authorized official contact:
Name: Heighten, Clay Doctor of Medicine (MD)
Phone: (972) 739-3001

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology, Mammography 261QR0206X

Profile Details

NPI number 1063573541
LBN Legal business name Medical Edge Healthcare Group Pa
DBA Doing business as Town East Mammography
Authorized official Heighten, Clay Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 12th, 2006
Last updated Sep 9th, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063573541 NPPES
Texas MEDICAID 081500315

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