Emer Mesquite Samuell Farm, LLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

EMER MESQUITE SAMUELL FARM, LLC

Doing business as

Surepoint Emergency Center Samuell Farm

Practice address

1745 N Belt Line Rd
Mesquite, TX 75149-1720

Phone

(469) 372-1127

Fax

(469) 372-1264

NPI assigned

Jul 8, 2020

Last updated

Sep 27, 2024By 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

Michelle Newsom

Title

President

Phone

(469) 830-8200

Specialties & licenses 1

Addresses

Other names 1

• Surepoint Emergency Center Samuell Farm Doing business as

Locations

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727395200000",
    "number": "1457979312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 MATLOCK RD STE 35",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635018",
            "telephone_number": "469-830-8200",
            "fax_number": "469-830-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 N BELT LINE RD",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751491720",
            "telephone_number": "469-372-1127",
            "fax_number": "469-372-1264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMER MESQUITE SAMUELL FARM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-08",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A",
        "authorized_official_last_name": "NEWSOM",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "469-830-8200"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surepoint Emergency Center Samuell Farm",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Surepoint Emergency Center Samuell Farm",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Emergency Medicine Physician in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; 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.