Organization Active NPI

Mesquite Heart Center

  • Cardiovascular Disease Physician
  • Forney, TX
National Provider Identifier
1518108760
Registry record updated Mar 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
E6487 Issued in TX
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2009

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.NPI 1588620884
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
109366803MedicaidTX
0086EBOtherTXBCBS
DD7678OtherRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.