Rockwall Medical Association Pa in Mesquite - Adolescent Medicine
Rockwall Medical Association Pa - NPI 1720207947
Rockwall Medical Association Pa is a Adolescent Medicine in Mesquite, Texas. Rockwall Medical Association Pa practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Rockwall Medical Association Pa is 1720207947. The last update date is 2012-09-21.
Rockwall Medical Association Pa's current location address is 502 W Kearney St, Mesquite, Texas. You can contact this provider via phone number 9722887337 and fax number 9722899076. The mailing address for Rockwall Medical Association Pa is 502 W Kearney St, Mesquite, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Rockwall Medical Association Pa |
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Address | 502 W Kearney St, Mesquite, Texas |
Phone Number | 9722887337 |
Fax Number | 9722899076 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PHYSICIAN/ |
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Authorized Official Name | Stiles S Laura |
Credentials | D.O. |
Telephone Number | 9722887337 |
NPI Number Detail
NPI Number | 1720207947 |
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Provider Enumeration Date | 2007-04-25 |
Last Updated Date | 2012-09-21 |
Provider Mailing Address Detail
Address | 502 W Kearney St |
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City | Mesquite |
State | Texas (TX) |
Post Code | 751493401 |
Phone Number | 9722887337 |
Fax Number | 9722899076 |
Provider's Primary Taxonomy Detail
Speciality | Adolescent Medicine |
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Taxonomy | 2080A0000X |
Licence No | H8853 |
Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
111465401 | TX | -- | |
111465402 | TX | -- |
Post Comment/ Review Below
What is the Rockwall Medical Association Pa's 1720207947?
The Rockwall Medical Association Pa's NPI (National Provider Identifier) Number is 1720207947. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Rockwall Medical Association Pa's facilities are geographically located?
The facilities of Rockwall Medical Association Pa are physically situated at the following location: 502 W Kearney St, Mesquite, TX, 751493401.
What is Rockwall Medical Association Pa's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Rockwall Medical Association Pa is Adolescent Medicine, and the taxonomy code that categorizes this field of expertise is 2080A0000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1720207947 to Rockwall Medical Association Pa?
The Rockwall Medical Association Pa received its 1720207947 assignment from the Centers for Medicare & Medicaid Services on 2007-04-25.
As of what date was the information pertaining to Rockwall Medical Association Pa, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Rockwall Medical Association Pa, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-09-21.