Provider Demographics
NPI:1760075865
Name:EMERGENCY CARE OF MESQUITE LLC
Entity Type:Organization
Organization Name:EMERGENCY CARE OF MESQUITE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:PRASADA
Authorized Official - Middle Name:R
Authorized Official - Last Name:NALLURI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:469-649-1007
Mailing Address - Street 1:51 S FREMONT RIDGE LOOP
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77389-5126
Mailing Address - Country:US
Mailing Address - Phone:469-649-1007
Mailing Address - Fax:832-308-1272
Practice Address - Street 1:1080 E CARTWRIGHT RD
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75149-6622
Practice Address - Country:US
Practice Address - Phone:469-649-1007
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-19
Last Update Date:2021-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care