Active NPI 1871524488 Individual Practitioner Male Practitioner

Lewis Todd Edwards

Internal Medicine • Mesquite, TX

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Lewis Edwards is a certified Internal Medicine practicing in Mesquite, TX. With approximately 30 years of clinical experience since graduating from University Of Texas Medical School At San Antonio in 1996, Lewis Edwards delivers high-quality medical care to the local community at 1650 REPUBLIC PKWY.

Lewis Edwards maintains professional affiliations with Legacy Healthcare Services Inc, Healthtexas Provider Network and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml, established patient outpatient office visit, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1650 Republic Pkwy
Suite 150

Mesquite, TX 751506916

Telephone 9722797575

Fax 9722700197

Associated Practice Facility / Clinic

🏢 Regional Dialysis Center Of Mesquite Llc Facility NPI 1326451915

Medicare Profile & Education

Medical School

University Of Texas Medical School At San Antonio

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Mesquite, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +4.0 yrs vs City Avg

City Avg: 26.0 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

36 Specialists

Practicing in Mesquite, TX (9538 Statewide)

Telehealth Adoption Rate

27.8% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

59.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Edwards (30 Years) 30 Yrs

Mesquite Specialty Average (26.0 Years) 26.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	1,500	16	$5.13	$0.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,407	770	$238.22	$126.32
36415 Insertion of needle into vein for collection of blood sample	990	693	$17.00	$8.64
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	674	674	$160.00	$127.56
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	629	479	$58.38	$16.12
90662 Influenza vaccine split virus, preservative free	221	213	$124.52	$80.79
G0008 Administration of influenza virus vaccine	221	213	$26.00	$25.48
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	208	171	$335.33	$177.76
99443 Telephone medical discussion with physician, 21-30 minutes	101	90	$300.91	$126.22
99442 Telephone medical discussion with physician, 11-20 minutes	68	62	$212.28	$89.28
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	60	35	$55.68	$41.41
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	60	57	$73.76	$52.85
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	60	60	$30.00	$7.89
83036 Hemoglobin A1C level	53	48	$58.26	$9.52
93000 Routine ekg using at least 12 leads including interpretation and report	50	39	$51.39	$13.76
91320 Sarscv2 vac 30mcg trs-suc im	45	45	$273.50	$152.24
99213 Established patient office or other outpatient visit, typically 15 minutes	29	26	$168.44	$89.82
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	26	26	$48.00	$5.98
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	23	23	$1172.25	$290.88
G0009 Administration of pneumococcal vaccine	23	23	$43.00	$32.05
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	20	20	$409.45	$217.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$309.53	$164.75
90480 Admn sarscov2 vacc 1 dose	20	20	$80.00	$42.73
70450 Ct scan head or brain without contrast	12	12	$657.00	$84.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	1,390	14	$3.71	$0.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,228	754	$238.22	$127.06
36415 Insertion of needle into vein for collection of blood sample	956	703	$17.00	$8.40
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	632	632	$160.00	$127.47
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	389	327	$335.33	$178.08
90662 Influenza vaccine split virus, preservative free	204	202	$120.00	$71.73
G0008 Administration of influenza virus vaccine	203	201	$26.00	$25.48
99443 Telephone medical discussion with physician, 21-30 minutes	161	131	$300.91	$126.93
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	86	45	$55.68	$41.31
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	81	67	$73.76	$52.17
83036 Hemoglobin A1C level	56	52	$58.26	$9.52
93000 Routine ekg using at least 12 leads including interpretation and report	51	44	$51.39	$14.13
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	44	43	$30.00	$7.93
99213 Established patient office or other outpatient visit, typically 15 minutes	36	35	$168.44	$89.90
87804 Detection test by immunoassay with direct visual observation for influenza virus	34	17	$99.31	$16.22
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	26	26	$409.45	$218.56
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	25	25	$48.00	$5.97
99442 Telephone medical discussion with physician, 11-20 minutes	19	18	$212.28	$90.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$309.53	$165.73
G0009 Administration of pneumococcal vaccine	18	18	$43.00	$30.63
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	18	18	$1006.53	$281.55
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	17	17	$84.54	$34.62
90471 Administration of 1 vaccine	16	16	$39.13	$20.26
99497 Advance care planning, first 30 minutes	15	15	$198.43	$82.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	1,380	14	$3.00	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,374	795	$187.73	$129.51
36415 Insertion of needle into vein for collection of blood sample	1,057	758	$17.00	$2.96
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	510	510	$160.00	$131.75
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	414	349	$272.71	$182.06
99443 Telephone medical discussion with physician, 21-30 minutes	235	194	$204.58	$129.55
G0008 Administration of influenza virus vaccine	174	172	$30.11	$27.47
90662 Influenza vaccine split virus, preservative free	170	170	$120.00	$68.54
83036 Hemoglobin A1C level	147	117	$45.43	$9.57
93000 Routine ekg using at least 12 leads including interpretation and report	87	78	$50.42	$14.21
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	80	51	$55.68	$41.48
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	68	65	$73.76	$53.61
99442 Telephone medical discussion with physician, 11-20 minutes	49	46	$133.16	$92.00
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	34	34	$369.41	$216.85
99213 Established patient office or other outpatient visit, typically 15 minutes	32	31	$118.88	$89.78
90471 Administration of 1 vaccine	25	25	$38.90	$17.03
70450 Ct scan head or brain without contrast	19	18	$657.00	$112.28
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	12	12	$28.00	$8.24
71250 Ct scan of chest without contrast	12	12	$836.00	$139.33
G0009 Administration of pneumococcal vaccine	11	11	$36.00	$30.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	2,309	20	$3.00	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,294	720	$170.00	$131.56
36415 Insertion of needle into vein for collection of blood sample	911	663	$17.00	$3.00
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	557	477	$245.00	$183.75
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	324	324	$160.00	$134.74
83036 Hemoglobin A1C level	193	158	$42.00	$9.71
G0008 Administration of influenza virus vaccine	188	184	$31.44	$17.35
99443 Telephone medical discussion with physician, 21-30 minutes	182	151	$186.00	$130.50
90662 Influenza vaccine split virus, preservative free	150	149	$67.50	$65.26
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	90	52	$55.68	$41.55
93000 Routine ekg using at least 12 leads including interpretation and report	71	69	$50.00	$15.02
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	51	48	$73.76	$53.87
99442 Telephone medical discussion with physician, 11-20 minutes	42	39	$128.00	$93.25
90682 Influenza vaccine, quadrivalent derived from recombinant dna	38	38	$66.71	$64.70
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	37	37	$355.00	$224.64
99213 Established patient office or other outpatient visit, typically 15 minutes	24	22	$105.00	$89.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$280.00	$170.22
71250 Ct scan of chest without contrast	13	11	$836.00	$144.67
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	13	11	$65.00	$14.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,336	639	$170.00	$111.68
36415 Insertion of needle into vein for collection of blood sample	753	533	$17.00	$2.99
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	340	340	$160.00	$119.77
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	317	248	$245.00	$149.67
99443 Telephone medical discussion with physician, 21-30 minutes	205	161	$98.13	$76.31
G0008 Administration of influenza virus vaccine	184	182	$31.31	$17.06
90662 Influenza vaccine split virus, preservative free	177	177	$63.33	$60.98
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	123	58	$49.41	$42.25
93000 Routine ekg using at least 12 leads including interpretation and report	80	75	$50.00	$17.56
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	71	66	$66.81	$54.98
93793 Anticoagulant management of patient taking warfarin	66	14	$31.00	$12.08
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	57	57	$355.00	$213.41
G0009 Administration of pneumococcal vaccine	50	50	$30.00	$16.93
99442 Telephone medical discussion with physician, 11-20 minutes	43	38	$79.02	$58.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$280.00	$168.49
99497 Advance care planning, first 30 minutes	36	36	$125.00	$87.84
90670 Pneumococcal vaccine for injection into muscle	28	28	$279.74	$221.65
99213 Established patient office or other outpatient visit, typically 15 minutes	25	24	$105.00	$77.03
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	23	23	$37.03	$14.78
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	22	22	$152.47	$116.65
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	19	19	$230.00	$170.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	2,695	27	$3.00	$0.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,882	769	$170.00	$110.39
36415 Insertion of needle into vein for collection of blood sample	976	642	$17.00	$2.93
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	467	467	$160.00	$118.66
99497 Advance care planning, first 30 minutes	443	442	$116.52	$86.59
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	390	282	$245.00	$147.23
G0008 Administration of influenza virus vaccine	218	215	$26.50	$16.73
90662 Influenza vaccine split virus, preservative free	208	206	$58.01	$53.18
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	146	53	$108.00	$42.31
G0009 Administration of pneumococcal vaccine	119	115	$26.50	$16.73
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	87	48	$42.83	$42.03
93793 Anticoagulant management of patient taking warfarin	87	21	$31.00	$12.19
90670 Pneumococcal vaccine for injection into muscle	84	84	$254.43	$206.13
93000 Routine ekg using at least 12 leads including interpretation and report	81	75	$50.00	$17.33
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	64	61	$56.74	$54.24
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	52	52	$355.00	$209.81
99213 Established patient office or other outpatient visit, typically 15 minutes	41	40	$105.00	$75.60
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	34	29	$65.00	$17.04
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	34	33	$142.94	$110.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$280.00	$166.98
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	28	28	$230.00	$174.97
J1040 Injection, methylprednisolone acetate, 80 mg	27	24	$52.00	$11.44
99496 Transitional care management services for problem of high complexity	16	15	$583.00	$235.94
82565 Blood creatinine level	14	14	$26.00	$5.58
71260 Ct scan of chest with contrast	11	11	$976.00	$194.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,492	719	$128.94	$87.00
99497 Advance care planning, first 30 minutes	438	438	$112.11	$79.98
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	413	413	$317.51	$117.05
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	324	260	$181.35	$122.85
36415 Insertion of needle into vein for collection of blood sample	190	183	$17.00	$2.94
G0008 Administration of influenza virus vaccine	128	128	$26.50	$20.65
90662 Influenza vaccine split virus, preservative free	127	127	$50.50	$49.49
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	81	52	$134.45	$42.13
99213 Established patient office or other outpatient visit, typically 15 minutes	61	51	$88.51	$53.97
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	50	47	$155.03	$54.13
80053 Blood test, comprehensive group of blood chemicals	39	39	$80.00	$12.78
84443 Blood test, thyroid stimulating hormone (TSH)	37	37	$86.00	$20.33
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	37	37	$222.00	$178.59
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	37	37	$32.00	$9.40
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	32	31	$136.87	$8.56
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	32	22	$108.00	$42.35
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	29	29	$404.22	$172.66
82306 Vitamin d-3 level	26	26	$100.00	$35.82
80061 Blood test, lipids (cholesterol and triglycerides)	26	26	$83.00	$16.20
93793 Anticoagulant management of patient taking warfarin	23	14	$31.00	$12.11
82607 Cyanocobalamin (vitamin B-12) level	14	14	$76.00	$18.24
77080 Dxa bone density measurement of hip, pelvis, spine	13	13	$399.00	$10.27
83036 Hemoglobin A1C level	11	11	$42.00	$11.75
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	11	11	$65.00	$20.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	2,063	798	$104.24	$78.82
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	607	419	$135.92	$111.31
99497 Advance care planning, first 30 minutes	605	592	$109.04	$76.67
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	520	520	$301.18	$115.90
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	165	69	$161.18	$41.63
99213 Established patient office or other outpatient visit, typically 15 minutes	152	115	$79.07	$51.01
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	97	93	$133.77	$8.52
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	73	33	$57.67	$9.25
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	67	60	$201.06	$53.96
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	45	45	$175.12	$168.95
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	44	44	$430.09	$167.69
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	22	16	$56.96	$12.31
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	21	19	$160.55	$41.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$140.52	$127.38
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	16	16	$200.98	$53.96
77080 Dxa bone density measurement of hip, pelvis, spine	14	14	$396.29	$10.26

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX K2895

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

Legacy Healthcare Services Inc

800 College Pkwy, Lewisville, TX 750773503

Phone: 9724208543

Healthtexas Provider Network

7217 Telecom Pkwy, Garland, TX 750442206

Phone: 4698002000

Healthtexas Provider Network

4001 Worth St, Dallas, TX 752461608

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Laura Farnum

Internal Medicine - Geriatric Medicine

NPI 1770508905

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 1650 REPUBLIC PKWY, SUITE 150, MESQUITE, TX 751506916 (Tel: 9722797575)

📍

Updated Business Mailing Address July 08, 2007

Registered at 1650 REPUBLIC PKWY, SUITE 150, MESQUITE, TX 751506917 (Tel: 9722797575)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as LEWIS EDWARDS

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Internal Medicine (License #K2895 in TX)

🟢

Initial NPI Registration & Enumeration July 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1871524488

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 05, 2006

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1650 Republic Pkwy, Suite 150

Mesquite, TX 751506917

Phone: 9722797575

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.