Active NPI
Estrada Medical Services
- Pediatrics Physician
- Mesquite, TX
National Provider Identifier
1154746105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- L4927
- Legal business name
- ESTRADA MEDICAL SERVICES
- Practice address
- 910 N Galloway Ave
Suite 101
Mesquite, TX 75149-2409 - Phone
- (972) 222-8000
- Fax
- (972) 329-0042
- NPI assigned
- Feb 27, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Roberto E Estrada, MD
- Title
- Doctor
- Phone
- (469) 951-0287
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | H0131 | TX | |
| Pediatrics Physician | 208000000X | L4927 | TX | Primary |
| Nurse Practitioner | 363L00000X | 457401 | TX |
Addresses
Primary practice location
910 N Galloway Ave
Suite 101
Mesquite, TX 75149-2409
Mailing address
620 N Coit Rd
Suite 2150
Richardson, TX 75080-5436
Phone (972) 664-0676
National Provider Directory
National Provider DirectoryLocations
910 N Galloway Ave
Ste 101
Mesquite, TX 75149
Phone (972) 222-8000
620 N Coit Rd
Ste 2150
Richardson, TX 75080
Phone (972) 234-6868
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393459200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1393459200000",
"number": "1154746105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 N COIT RD",
"address_2": "SUITE 2150",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750805436",
"telephone_number": "972-664-0676",
"fax_number": "972-664-0677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 N GALLOWAY AVE",
"address_2": "SUITE 101",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751492409",
"telephone_number": "972-222-8000",
"fax_number": "972-329-0042"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ESTRADA MEDICAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2014-02-27",
"last_updated": "2014-02-27",
"status": "A",
"authorized_official_last_name": "ESTRADA",
"authorized_official_first_name": "ROBERTO",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "469-951-0287",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "TX",
"license": "H0131",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "TX",
"license": "L4927",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "457401",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesquite, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.