NPIMap

Organization Active NPI

Mesquite Children's Clinic, PA

  • Pediatrics Physician
  • Mesquite, TX
National Provider Identifier
1841445657
Registry record updated Nov 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
MESQUITE CHILDREN'S CLINIC, PA
Practice address
929 N Galloway Ave
Suite 121
Mesquite, TX 75149-2476
Phone
(972) 216-1063
NPI assigned
Nov 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2008

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

Authorized official

Name
Mr. Safdar Iqbal
Title
Business Manager
Phone
(972) 288-9521

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

929 N Galloway Ave
Suite 121
Mesquite, TX 75149-2476

Mailing address

929 N Galloway Ave
Suite 121
Mesquite, TX 75149-2476
Phone (972) 216-1063

National Provider Directory

National Provider Directory

Locations

929 N Galloway Ave
Ste 121
Mesquite, TX 75149
Phone (972) 216-1063

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227139200000",
    "number": "1841445657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 N GALLOWAY AVE",
            "address_2": "SUITE 121",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751492476",
            "telephone_number": "972-216-1063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 N GALLOWAY AVE",
            "address_2": "SUITE 121",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751492476",
            "telephone_number": "972-216-1063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESQUITE CHILDREN'S CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-20",
        "last_updated": "2008-11-20",
        "status": "A",
        "authorized_official_last_name": "IQBAL",
        "authorized_official_first_name": "SAFDAR",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "972-288-9521",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "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 20, 2008; 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.