Mesobella in Southlake - Family

Mesobella - NPI 1689740656

Mesobella is a Family in Southlake, Texas. Mesobella practices all healthcare services and medical treatments related to Family. The NPI Number for Mesobella is 1689740656. The last update date is 2009-01-06.

Mesobella's current location address is 731 E Southlake Blvd # 180, Southlake, Texas. You can contact this provider via phone number 8172516376. The mailing address for Mesobella is 731 E Southlake Blvd # 180, Southlake, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Mesobella
Address 731 E Southlake Blvd # 180, Southlake, Texas
Phone Number 8172516376
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Lanza Trina
Credentials RN,WOCN,MS
Telephone Number 8172915780

NPI Number Detail

NPI Number 1689740656
Provider Enumeration Date 2006-11-28
Last Updated Date 2009-01-06

Provider Mailing Address Detail

Address 731 E Southlake Blvd # 180
City Southlake
State Texas (TX)
Post Code 760926377
Phone Number 8172516376
Fax Number

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No 583243
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

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FAQs about Mesobella

What is the unique provider identifier assigned to Mesobella?

The Mesobella has been issued the NPI (National Provider Identifier) 1689740656 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Mesobella is physically located?

The Mesobella is situated at the following address: 731 E Southlake Blvd # 180, Southlake, TX 760926377.

What is Mesobella's specialized field of practice, and what is the corresponding taxonomy classification code?

The Mesobella's area of specialization is Family, and the corresponding taxonomy code that categorizes this field of practice is 363Lf0000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1689740656 to Mesobella?

The Mesobella received its 1689740656 assignment from the Centers for Medicare & Medicaid Services on 2006-11-28.

As of what date were the details pertaining to Mesobella last refreshed?

The information related to the Mesobella, including its address, specialty, and other relevant details, was last updated on 2009-01-06.

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