OLD TOWN PEDIATRICS OF MESQUITE PA
NPI 1164775391
Pediatrics - Adolescent Medicine in Mesquite, TX

Active since October 25, 2012
502 W KEARNEY ST, #700, MESQUITE, TX 75149(972) 288-7337(972) 289-9076 Get Directions Write a Review

NPPES record last updated: January 25, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Old Town Pediatrics Of Mesquite Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLD TOWN PEDIATRICS OF MESQUITE PA (NPI 1164775391) is a healthcare organization registered as an adolescent medicine in Mesquite, Texas and active in the NPI registry since October 2012. The organization lists Laura Stiles, Owner, as its authorized official.

NPPES Registry Identity

NPI1164775391
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameOLD TOWN PEDIATRICS OF MESQUITE PA
Location Address502 W KEARNEY ST, #700Mesquite, TX 75149-3401
Mailing Address502 W Kearney St, #700Mesquite, TX 75149-3401 · (972) 288-7337 · Fax (972) 289-9076
Fax(972) 289-9076
Organization SubpartNo
Authorized OfficialLaura StilesOwner · (214) 454-9452
Enumeration DateOctober 25, 2012
Last NPPES UpdateJanuary 25, 2013
NPI 1164775391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

502 W KEARNEY ST, Mesquite, TX 75149

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics (Adolescent Medicine)
502 W KEARNEY ST, SUITE 700
MESQUITE, TX 75149
Pediatrics (Adolescent Medicine)
502 W KEARNEY ST, SUITE 700
MESQUITE, TX 75149
Speech-Language Pathologist
502 W KEARNEY ST, SUITE 200
MESQUITE, TX 75149
Home Health
502 W KEARNEY ST, SUITE 200
MESQUITE, TX 75149

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Old Town Pediatrics Of Mesquite PA's NPI number?

The NPI number for Old Town Pediatrics Of Mesquite PA is 1164775391. It was assigned to this organization in the NPPES registry on October 25, 2012.

Where is Old Town Pediatrics Of Mesquite PA located?

Old Town Pediatrics Of Mesquite PA is located at 502 W Kearney St #700, Mesquite, TX 75149. The listed phone number is (972) 288-7337.

What is Old Town Pediatrics Of Mesquite PA's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

When was this NPI record last updated?

The NPPES record for Old Town Pediatrics Of Mesquite PA was last updated on January 25, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.