Mesquite Walk in Clinic, PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

MESQUITE WALK IN CLINIC, PLLC

Practice address

910 N Galloway Ave Ste 102
Mesquite, TX 75149-2409

Phone

(972) 222-8001

Fax

(469) 802-6272

NPI assigned

Sep 14, 2018

Last updated

Sep 14, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dianna L Gomez

Title

Administration

Phone

(972) 222-8001

Specialties & licenses 3

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1536883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536883200000",
    "number": "1093298036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 N GALLOWAY AVE STE 102",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751492409",
            "telephone_number": "972-222-8001",
            "fax_number": "469-802-6272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 N GALLOWAY AVE STE 102",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751492409",
            "telephone_number": "972-222-8001",
            "fax_number": "469-802-6272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESQUITE WALK IN CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-14",
        "last_updated": "2018-09-14",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "DIANNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "972-222-8001"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1154746105",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mesquite Specialty Hospital LP
• Mesquite Tooth Fairy PLLC (Dental Zania)
• Mesquite Town East Medical Center LLC (First Choice Emergency Room)
• Mesquite TX Caregiving LLC
• Mesquite TX Endoscopy ASC LLC (Texas GI Endoscopy Center)
• Meta Healthcare LLC (META Hospice)
• Metro ENT, P.a.
• Metro Medical Equipment, Inc
• Metro X-Ray
• Metrocare Services

• Pediatrics Physician in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.