Provider Demographics
NPI:1770764458
Name:TEXAS HEALTH QUEST
Entity type:Organization
Organization Name:TEXAS HEALTH QUEST
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:GRAY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:817-656-1615
Mailing Address - Street 1:6801 RUFE SNOW DR
Mailing Address - Street 2:SUITE 308
Mailing Address - City:WATAUGA
Mailing Address - State:TX
Mailing Address - Zip Code:76148-2348
Mailing Address - Country:US
Mailing Address - Phone:817-656-1615
Mailing Address - Fax:817-428-0573
Practice Address - Street 1:6801 RUFE SNOW DR
Practice Address - Street 2:SUITE 308
Practice Address - City:WATAUGA
Practice Address - State:TX
Practice Address - Zip Code:76148-2348
Practice Address - Country:US
Practice Address - Phone:817-656-1615
Practice Address - Fax:817-428-0573
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-21
Last Update Date:2007-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC4083111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXT13546Medicare UPIN
TX00K11QMedicare PIN