Organization
HEALTH TEXAS PROVIDER NETWORK
Active
Other names
PCA-QUINLAN
Organization subpart
No
Provider details
NPI number
Authorized official
SHERYL L MORRIS (OPERATIONS MANAGER)
(469) 800-3524
Entity
Organization
Contact information
Practice address
734 E QUINLAN PKWY, QUINLAN, TX 75474-8640
(469) 800-3640
(469) 800-3650
Mailing address
PO BOX 844128, DALLAS, TX 75284-4128
(469) 800-3524
(469) 800-3564
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005EE
BCBS GROUP
TX
05
—
017949101
—
TX
05
—
137940601
—
TX
05
—
137940610
—
TX
01
—
CP0098
RAILROAD MEDICARE
TX
Enumeration date
04/13/2007
Last updated
11/23/2016
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