Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rural Health |
261QR1300X | B4[14] | Rural Health Clinic |
| NPI # | 1528639879 |
| LBN Legal business name | MESQUITE CLINIC MANAGEMENT COMPANY LLC |
| Authorized official | LAURA FEY - (DIRECTOR REVENUE CYCLE) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 07/08/2021 |
| Last updated | 07/08/2021 - About 5 years ago |
| Identifiers | n/a |
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