Organization Active NPI

Estrada Medical Services

  • Pediatrics Physician
  • Mesquite, TX
National Provider Identifier
1154746105
Registry record updated Feb 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
L4927 Issued in TX
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

Updated by the provider on Feb 27, 2014

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X H0131 TX
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X L4927 TX Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.