EMER MESQUITE SAMUELL FARM PHYSICIANS, PLLC (NPI# 1356969836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356969836 |
| Entity Type | Organization |
| Organization Name | EMER MESQUITE SAMUELL FARM PHYSICIANS, PLLC |
| Practice Address |
1745 N Belt Line Rd Mesquite TX 75149-1720 |
| Mailing Address |
960 Ridgeview Dr. Ste 140 Pmb 129 Allen TX 75013 |
| Practice Telephone | 4693721127 |
| Practice Fax Number | 4693721264 |
| Mailing Telephone | 2143907697 |
| Mailing Fax Number | 9724326692 |
| Enumeration Date | 2020-07-10 |
| Last Update Date | 2020-10-12 |
| Authorized Official Name | MICHELLE NEWSOM (VP OF OPERATIONS) |
| Authorized Official Telephone | 2142592493 |
| Is Organization Subpart | Y |
| Parent Organization Name | ENCORE MEDICAL CENTERS, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0002X |
Clinic/Center Specialization: Emergency Care |
Ambulatory Health Care Facilities |
| Street Address |
1745 N BELT LINE RD |
| City | MESQUITE |
| State | TX |
| Zip Code | 75149-1720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760485478 | Tariq Rahman Mallick | Emergency Medicine | 1745 N Belt Line Rd, Mesquite, TX 75149-1720 | 2005-05-27 |
| 1457979312 | Emer Mesquite Samuell Farm, LLC | Clinic/Center | 1745 N Belt Line Rd, Mesquite, TX 75149-1720 | 2020-07-08 |
| 1790730133 | Kareem Mohamed Elshatory | Emergency Medicine | 1745 N Belt Line Rd, Mesquite, TX 75149 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891340642 | Michael Ryan Tong | Pharmacist | 300 West Kearney, Mesquite, TX 75149 | 2019-08-08 |
| 1720548118 | Life Specialty Pharmacy, Inc. | Pharmacy | 949 W. Kearney St., Suite 107, Mesquite, TX 75149 | 2019-03-21 |
| 1851857304 | Foursquare Texas 16 LLC | Skilled Nursing Facility | 750 Highway 352, Mesquite, TX 75149 | 2019-02-20 |
| 1629561477 | Christina Yvette Smith | Nurse Practitioner | 1336 N Galloway Ave Ste 124, Mesquite, TX 75149 | 2018-06-07 |
| 1356844484 | D&b Dentistry, Pllc | Clinic/Center | 5550 South Buckner Blvd., Ste 270, Mesquite, TX 75149 | 2018-03-15 |
| 1811426216 | Higher Ground Services LLC | In Home Supportive Care | 624 Yosemite Trail, Mesquite, TX 75149 | 2017-06-08 |
| 1275067977 | Wal-mart Stores Texas, LLC | Durable Medical Equipment & Medical Supplies | 1951 Military Parkway, Mesquite, TX 75149 | 2017-04-19 |
| 1922530591 | Johnny Staton | Physician Assistant | 1208 Paintbrush St, Mesquite, TX 75149 | 2017-04-01 |
| 1811432115 | Fastpass Ucm, Pllc | Emergency Medicine | 1080 E Cartwright Rd, Suite 120, Mesquite, TX 75149 | 2016-12-22 |
| 1508309170 | Code 3 Emergency Partners At Mesquite, LLC | Clinic/Center | 1080 E Cartwright Rd Ste 100, Mesquite, TX 75149 | 2016-11-29 |
| Find all providers in zip 75149 | ||||
| Taxonomy Code | 261QE0002X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Emergency Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508309170 | Code 3 Emergency Partners At Mesquite, LLC | Clinic/Center | 1080 E Cartwright Rd Ste 100, Mesquite, TX 75149 | 2016-11-29 |
| 1922447697 | Mesquite Town East Medical Center LLC | Clinic/Center | 3400 Gus Thomasson Rd, Mesquite, TX 75150-3627 | 2013-06-17 |
| 1144838947 | Emer Mesquite Gus Thomasson, LLC | Clinic/Center | 3400 Gus Thomasson Rd, Mesquite, TX 75150-3627 | 2020-07-17 |
| 1457979312 | Emer Mesquite Samuell Farm, LLC | Clinic/Center | 1745 N Belt Line Rd, Mesquite, TX 75149-1720 | 2020-07-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.