Rockwall Medical Association Pa
Pediatric Adolescent Medicine
Rockwall Medical Association Pa is a Mesquite, Texas based Pediatric center with medical specialization in
Pediatric Adolescent Medicine.
It is located at
502 W Kearney St, Suite 700, Mesquite, Texas - 75149-3401. They can be contacted on phone at
972-288-7337 and fax number 972-289-9076.
NPI number (Unique professional ID) for Rockwall Medical Association Pa is
1720207947 which was assigned by NPPES on 25 Apr, 2007 and it was last updated on 21 Sep, 2012.
Rockwall Medical Association Pa license number is
H8853 for Pediatrics Adolescent Medicine (2080A0000X) in Texas.
Rockwall Medical Association Pa 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.
Complete Profile:
Rockwall Medical Association Pa basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Rockwall Medical Association Pa |
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Business Address:
Rockwall Medical Association Pa address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 502 W Kearney St, Suite 700
Mesquite, TX, 75149-3401
United States |
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| Phone Number : | 972-288-7337 |
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| Fax Number : | 972-289-9076 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1720207947 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 25 Apr, 2007 |
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| Last Updated On : | 21 Sep, 2012 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Lauras Stiles |
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| Authorized Official Credential : | D.O. |
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| Official Title or Position : | PHYSICIAN/OWNER |
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| Phone Number : | 972-288-7337 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Rockwall Medical Association Pa are as mentioned. Primary taxonomy code for Rockwall Medical Association Pa is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | H8853 | TX |
Legacy Identifiers:
Other legacy medical identifiers of Rockwall Medical Association Pa such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 111465401 | MEDICAID | TX | |
| 111465402 | MEDICAID | TX | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 502 W Kearney St, Suite 700
Mesquite, TX, 75149-3401
United States |
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| Phone Number : | 972-288-7337 |
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| Fax Number : | 972-289-9076 |
|---|
Business Location:
Patients can refer following map for directions to
Rockwall Medical Association Pa practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.