OrganizationActive
Old Town Pediatrics of Mesquite PA
NPI 1609165109 · Pediatric Adolescent Medicine Physician · Mesquite, TX
Provider details
- NPI number
- 1609165109
- Entity type
- Organization
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Laura Stiles, President(972) 288-7337
- License
- H8853 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
502 W Kearney St
Suite 700
Mesquite, TX 75149-3401
Phone: (972) 288-7337
Fax: (972) 289-9076
Approximate (ZIP-level) locationGet directions
Mailing address
502 W Kearney St
Mesquite, TX 75149-3401
Registry dates
- Enumerated
- 2011-04-05
- Last updated
- 2011-04-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.