| Bma | |
|
1611 N Belt Line Rd Suite A Mesquite TX 75149-1722 | |
| (972) 613-1000 | |
| (972) 613-4232 |
| Full Name | Bma |
|---|---|
| Speciality | Family Medicine |
| Location | 1611 N Belt Line Rd, Mesquite, Texas |
| Authorized Official Name and Position | Jense Benjamin (PRESIDENT) |
| Authorized Official Contact | 9726131000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bma 1611 N Belt Line Rd Suite A Mesquite TX 75149-1722 Ph: (972) 613-1000 | Bma 1611 N Belt Line Rd Suite A Mesquite TX 75149-1722 Ph: (972) 613-1000 |
| NPI Number | 1750560926 |
|---|---|
| Provider Enumeration Date | 10/24/2007 |
| Last Update Date | 10/25/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750560926 | NPI | - | NPPES |
| 166121701 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
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