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Organization
QUANTUM FAMILY CARE, P.A.
Active
Organization
QUANTUM FAMILY CARE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FILIPPO MASCIARELLI M.D. (PRESIDENT/PHYSICIAN)
(940) 484-1887
Entity
Organization
Contact information
Practice address
3303 COLORADO BLVD, SUITE A, DENTON, TX 76210-6815
(940) 484-1887
(940) 591-0458
Mailing address
3303 COLORADO BLVD, SUITE A, DENTON, TX 76210-6812
(940) 484-1887
(940) 591-0458
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J9753
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080942801
—
TX
01
—
122082402
MEDICAID INDIVIDUAL PROVIDER NUMBER
TX
Enumeration date
08/11/2006
Last updated
08/29/2008
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