Healthcare Provider Details

I. General information

NPI: 1609770247
Provider Name (Legal Business Name): STRIDECARE ASC MESQUITE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

608 W I 30 STE 411
GARLAND TX
75043-5735
US

IV. Provider business mailing address

8135 FOREST LN # 515057
DALLAS TX
75230-2472
US

V. Phone/Fax

Practice location:
  • Phone: 866-552-4866
  • Fax:
Mailing address:
  • Phone: 469-850-5760
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: JARYD STEIN
Title or Position: CHIEF MEDICAL OFFICER
Credential: MD
Phone: 214-392-4976