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Mesquite Neurology Clinic Pa
Specialist in Mesquite, Texas
NPI 1063575942

Mesquite Neurology Clinic Pa is a Specialist based in Mesquite, TX. Mesquite Neurology Clinic Pa practices in Mesquite, TX. The NPI Number for Mesquite Neurology Clinic Pa is 1063575942 and holds a License No. K3984 (Texas).

The current practice location address for Mesquite Neurology Clinic Pa is 1320 N Galloway Ave Ste 101, Mesquite, TX and can be reached out via phone at 972-329-9001 and via fax at 972-279-9040.

Location: 1320 N Galloway Ave Ste 101, Mesquite, TX, 75150-6383
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063575942
Provider Name
Mesquite Neurology Clinic Pa
Credential
Provider Entity Type
Organization
Address
1320 N Galloway Ave Ste 101, Mesquite, TX, 75150-6383
Phone Number
972-329-9001
Fax Number
972-279-9040
Provider Enumeration Date
12/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00X189 01 TX MEDICARE GROUP NUMBER
1063575942 01 TX NPI GRUOP NUMBER
1881620581 01 TX NPI
institution
Provider Business Practice Location Address Details
Address
1320 N Galloway Ave Ste 101
City
Mesquite
State
Texas
Zip
75149-2461
Phone Number
972-329-9001
Fax Number
972-279-9040
person
Provider Business Mailing Address Details
Address
1320 N Galloway Ave Ste 101
City
Mesquite
State
Texas
Zip
75149-2461
Phone Number
972-329-9001
Fax Number
972-279-9040
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
K3984 (Texas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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