Medical Edge Healthcare Group Pa in Mesquite - Radiology, Mammography
Medical Edge Healthcare Group Pa - NPI 1063573541
Medical Edge Healthcare Group Pa is a Radiology, Mammography in Mesquite, Texas. Medical Edge Healthcare Group Pa practices all healthcare services and medical treatments related to Radiology, Mammography. The NPI Number for Medical Edge Healthcare Group Pa is 1063573541. The last update date is 2008-09-09.
Medical Edge Healthcare Group Pa's current location address is 1645 N Town East Blvd Ste 503, Mesquite, Texas. You can contact this provider via phone number 9726863901 and fax number 9726863985. The mailing address for Medical Edge Healthcare Group Pa is 1645 N Town East Blvd Ste 503, Mesquite, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Medical Edge Healthcare Group Pa |
|---|---|
| Address | 1645 N Town East Blvd Ste 503, Mesquite, Texas |
| Phone Number | 9726863901 |
| Fax Number | 9726863985 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Heighten Clay |
| Credentials | MD |
| Telephone Number | 9727393001 |
NPI Number Detail
| NPI Number | 1063573541 |
|---|---|
| Provider Enumeration Date | 2006-12-12 |
| Last Updated Date | 2008-09-09 |
Provider Mailing Address Detail
| Address | 1645 N Town East Blvd Ste 503 |
|---|---|
| City | Mesquite |
| State | Texas (TX) |
| Post Code | 751504147 |
| Phone Number | 9726863901 |
| Fax Number | 9726863985 |
Provider's Primary Taxonomy Detail
| Speciality | Radiology, Mammography |
|---|---|
| Taxonomy | 261Qr0206X |
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Definition: Specializes in breast imaging to screen for and diagnose breast cancer. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 81500315 | TX | -- |
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What is the Medical Edge Healthcare Group Pa's unique identification number?
The Medical Edge Healthcare Group Pa has been assigned the NPI (National Provider Identifier) Number 1063573541 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Medical Edge Healthcare Group Pa located?
The Medical Edge Healthcare Group Pa is located at 1645 N Town East Blvd Ste 503, Mesquite, TX 751504147.
What is Medical Edge Healthcare Group Pa's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Medical Edge Healthcare Group Pa is Radiology, Mammography, and the taxonomy code that categorizes this field of expertise is 261Qr0206X.
On what date did the Centers for Medicare & Medicaid Services assign the 1063573541 to Medical Edge Healthcare Group Pa?
The Centers for Medicare & Medicaid Services assigned the 1063573541 to Medical Edge Healthcare Group Pa on 2006-12-12.
When was the Medical Edge Healthcare Group Pa's information last updated?
The Medical Edge Healthcare Group Pa's information was last updated on 2008-09-09.