| NPI | 1790384014 |
|---|---|
| Doing Business As | MESQUITE VALLEY INTEGRATED HEALTH |
| Entity Type | Organization |
| Authorized Contact | TROY FULTON Owner 480-509-7738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LC1500X Nurse Practitioner, Community Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2024-07-23 |