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MESQUITE CHILDREN'S CLINIC PA NPI 1841445657


NPI Information

NPI: 1841445657
Provider Name: MESQUITE CHILDREN'S CLINIC, PA
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 45D2077258

Address:
929 N GALLOWAY AVE
SUITE 121
MESQUITE, TX
ZIP 75149
Phone: (972) 216-1063
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MESQUITE CHILDREN'S CLINIC, PA is a pediatrics in Mesquite, TX. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. MESQUITE CHILDREN'S CLINIC, PA NPI is 1841445657. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

929 N GALLOWAY AVE
SUITE 121
MESQUITE, TX
ZIP 75149-476
Phone: (972) 216-1063

The provider's authorized official is Safdar Iqbal .
The authorized official title is Business Manager and has the following contact phone number (972) 288-9521.

The CLIA number assigned to this NPI record is 45D2077258 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/20/2008 and was last updated on 11/20/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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