NPIMap

Organization Active NPI

Mesquite Medical & Surgical Clinic P.a.

  • Primary Care Clinic/Center
  • Mesquite, TX
National Provider Identifier
1629128731
Registry record updated Nov 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
F9379 Issued in TX
Legal business name
MESQUITE MEDICAL & SURGICAL CLINIC P.A.
Practice address
1102 N Galloway Ave
Mesquite, TX 75149-2436
Phone
(972) 285-5426
Fax
(972) 329-1433
NPI assigned
Jan 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Lori Lea Scott
Title
Npi Coordinator
Phone
(972) 285-5426

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X F9379 TX Primary

Addresses

Primary practice location

1102 N Galloway Ave
Mesquite, TX 75149-2436

Mailing address

1102 N Galloway Ave
Mesquite, TX 75149-2436
Phone (972) 285-5426

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290038400000",
    "number": "1629128731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 N GALLOWAY AVE",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751492436",
            "telephone_number": "972-285-5426",
            "fax_number": "972-329-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 N GALLOWAY AVE",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751492436",
            "telephone_number": "972-285-5426",
            "fax_number": "972-329-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESQUITE MEDICAL & SURGICAL CLINIC P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2010-11-18",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "NPI COORDINATOR",
        "authorized_official_telephone_number": "972-285-5426",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "F9379",
            "primary": true
        }
    ],
    "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 Nov 18, 2010; 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.