Active NPI
Mesquite Heart Center
- Cardiovascular Disease Physician
- Forney, TX
National Provider Identifier
1518108760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- E6487
- Legal business name
- MESQUITE HEART CENTER
- Practice address
- 763 E US Highway 80
Suite 110
Forney, TX 75126-8633 - Phone
- (972) 552-5110
- NPI assigned
- Mar 18, 2009
- Last updated
- Mar 18, 2009
- 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. Saleem H Mallick, M.D.
- Title
- President
- Phone
- (972) 552-5110
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | E6487 | TX | Primary |
Addresses
Primary practice location
763 E US Highway 80
Suite 110
Forney, TX 75126-8633
Mailing address
PO Box 850347
Mesquite, TX 75185-0347
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 109366803 | Medicaid | TX | |
| 0086EB | Other | TX | BCBS |
| DD7678 | Other | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
763 E US Highway 80
Ste 110
Forney, TX 75126
Phone (469) 689-0770
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Interventional Cardiology Physician
- Mesquite, TX
- NPI 1588620884
Cardiovascular Disease
-
- Interventional Cardiology Physician
- Katy, TX
- NPI 1427251867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237334400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1237334400000",
"number": "1518108760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 850347",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751850347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "763 E US HIGHWAY 80",
"address_2": "SUITE 110",
"city": "FORNEY",
"state": "TX",
"postal_code": "751268633",
"telephone_number": "972-552-5110"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MESQUITE HEART CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-18",
"last_updated": "2009-03-18",
"status": "A",
"authorized_official_last_name": "MALLICK",
"authorized_official_first_name": "SALEEM",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "972-552-5110",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TX",
"license": "E6487",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "109366803",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0086EB",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DD7678",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Forney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.