Innovista Provider Group Texas PA

NPI #1881249365 in Mesquite, Texas

Provider Information

NPI Number: 1881249365
Entity Type: Organization
Organization Name: Innovista Provider Group Texas PA
Subpart: Yes (part of a larger organization)
Parent Organization: INNOVISTA PROVIDER GROUP TEXAS PA
Primary Specialty: Family Medicine
Enumeration Date: Aug 1, 2019
Last Updated: Jun 2, 2025

Practice Location

Address: 2021 N TOWN EAST BLVD STE 500
City: Mesquite
State: Texas
ZIP Code: 75150-4060
Phone: (305) 470-2929

Authorized Official

Name: AFREEN PAPPA, MD
Title: MARKET MEDICAL DIRECTOR
Phone: (281) 639-4679

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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