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  • 676422
CCN: 676422 NPI: 1447881974 Organization

Palomino Place

3160 GUS THOMASSON RD
MESQUITE, TX 751504048

Contact Information

  • Phone 4693294002
  • Enumeration Date 2020-02-03
  • Last Updated 2025-08-28

Taxonomies

  • Code: 314000000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 7
cbsaActualGeographicLocation 19124
providerType 38
vbpAdjustment 0.9902933684
censusDivision 7
cbsaActualGeographicLocation 19124
providerType 38
vbpAdjustment 0.9802564842
censusDivision 7
cbsaActualGeographicLocation 19124
providerType 38
vbpAdjustment 0.9802538758
censusDivision 7
cbsaActualGeographicLocation 19124
providerType 38
vbpAdjustment 0.992
censusDivision 7
cbsaActualGeographicLocation 19124
providerType 38
vbpAdjustment 0.992
censusDivision 7
cbsaActualGeographicLocation 19124
providerType 38
vbpAdjustment 0.9815852911
censusDivision 7
cbsaActualGeographicLocation 19124
providerType 38
vbpAdjustment 1.0094015298
censusDivision 7
cbsaActualGeographicLocation 19124
providerType 38
vbpAdjustment 1.0094015298
censusDivision 7
cbsaActualGeographicLocation 19124
providerType 38
vbpAdjustment 1.003573937

Outpatient Payment Attributes (OPSF) View Dictionary →

cbsaActualGeographicLocation 19124
providerType 38
carrierCode 04412
localityCode 11
cbsaActualGeographicLocation 19124
providerType 38
specialPaymentIndicator
carrierCode 04412
localityCode 11
cbsaActualGeographicLocation 19124
providerType 38
specialPaymentIndicator
carrierCode 04412
localityCode 11
cbsaActualGeographicLocation 19124
providerType 38
specialPaymentIndicator
carrierCode 04412
localityCode 11
cbsaActualGeographicLocation 19124
providerType 38
specialPaymentIndicator
carrierCode 04412
localityCode 11
cbsaActualGeographicLocation 19124
providerType 38
specialPaymentIndicator
carrierCode 04412
localityCode 11

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