MISSION EAST DALLAS AND METROPLEX PROJECT INC. NPI 1922718816

NPI Information

NPI: 1922718816
Provider Name: MISSION EAST DALLAS AND METROPLEX PROJECT, INC.
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
4650 PRESIDENT GEORGE BUSH HWY
SACHSE, TX
ZIP 75048
Phone: (972) 682-8917
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MISSION EAST DALLAS AND METROPLEX PROJECT, INC. is a federally qualified health center (fqhc) clinic center in Sachse, TX. MISSION EAST DALLAS AND METROPLEX PROJECT, INC. NPI is 1922718816. The provider is registered as an organization entity type.

The provider's business location address is:

4650 PRESIDENT GEORGE BUSH HWY
SACHSE, TX
ZIP 75048
Phone: (972) 682-8917

The provider's authorized official is Charles Joseph Wiltraut .
The authorized official title is Ceo and has the following contact phone number (972) 682-8917.

The enumeration date for this NPI number is 12/1/2022 and was last updated on 12/1/2022.

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
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

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

NPI Synchronization or Removal

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