Provider Demographics
NPI:1730570581
Name:TEXAS QUICK CARE, LLC
Entity type:Organization
Organization Name:TEXAS QUICK CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SADIYA
Authorized Official - Middle Name:
Authorized Official - Last Name:ABBAS
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:914-539-7101
Mailing Address - Street 1:PO BOX 869
Mailing Address - Street 2:
Mailing Address - City:TIMPSON
Mailing Address - State:TX
Mailing Address - Zip Code:75975-0869
Mailing Address - Country:US
Mailing Address - Phone:936-254-3338
Mailing Address - Fax:936-254-3339
Practice Address - Street 1:507 JACOB ST
Practice Address - Street 2:
Practice Address - City:TIMPSON
Practice Address - State:TX
Practice Address - Zip Code:75975-5255
Practice Address - Country:US
Practice Address - Phone:914-539-7101
Practice Address - Fax:936-254-3339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-16
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
474714Medicare PIN