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Organization
QUANTUM HOSPITAL MEDICINE SERVICES OF TEXAS PA
Active
Organization
QUANTUM HOSPITAL MEDICINE SERVICES OF TEXAS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY H MERKLE MD (PRESIDENT)
(800) 424-3672
Entity
Organization
Contact information
Practice address
3600 GATES BLVD, PORT ARTHUR, TX 77642-3858
(409) 985-7431
Mailing address
1643 NW 136TH AVE STE 100, SUNRISE, FL 33323-2857
(800) 424-3672
(954) 377-3042
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0059SA
BCBS
TX
05
—
201282501
—
TX
Enumeration date
10/02/2008
Last updated
10/12/2020
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