Organization
QUALITY ASSIST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENDALL M POLK LSA,CSFA (LSA,CSFA)
(214) 927-6539
Entity
Organization
Contact information
Practice address
205 CRENSHAW DR, MANSFIELD, TX 76063-3451
(214) 927-6539
(817) 394-1231
Mailing address
3540 E. BRAOD ST. STE 102, PMB 237, MANSFIELD, TX 76063
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
246ZX2200X
Orthopedic Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285009803
NPI
—
Enumeration date
01/28/2016
Last updated
06/16/2018
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