QUADMED MEDICAL CLINICS OF TEXAS, P.A. D/B/A QUADMED MEDICAL GROU (NPI# 1447759212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447759212 |
Entity Type | Organization |
Organization Name | QUADMED MEDICAL CLINICS OF TEXAS, P.A. D/B/A QUADMED MEDICAL GROU |
Other Organization Name | KOHL'S DALLAS, TX |
Practice Address |
17655 Waterview Parkway Dallas TX 75252 |
Mailing Address |
N64w23110 Main Street Sussex WI 53089 |
Practice Telephone | 8882258354 |
Practice Fax Number | 2623725607 |
Mailing Telephone | 4145668400 |
Mailing Fax Number | 4145668400 |
Enumeration Date | 2018-02-07 |
Last Update Date | 2018-02-07 |
Authorized Official Name | MRS. SUSAN BUETTNER (PRESIDENT, QUADMED) |
Authorized Official Telephone | 4145668350 |
Is Organization Subpart | Y |
Parent Organization Name | QUAD/MED, LLC |
Parent Organization TIN |
|
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
AP122608 | TX | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Kohl's Dallas, TX | Other Name - Individual/Organization |
Street Address |
17655 WATERVIEW PARKWAY |
City | DALLAS |
State | TX |
Zip Code | 75252 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457914681 | Lashaun Nicole Mwangi | Counselor | 17740 Preston Rd., Suite 100-b, Dallas, TX 75252 | 2019-04-14 |
1699244921 | Naomi Silva | Counselor | 18208 Preston Rd. Ste D9-466, Dallas, TX 75252 | 2018-11-15 |
1134601560 | Douglas Wayne Barnes | Counselor | 17762 Preston Rd Suite 108, Dallas, TX 75252 | 2018-09-01 |
1528548260 | Rhejes Healthcare Services LLC | In Home Supportive Care | 19019 Preston Rd Apt 710, Dallas, TX 75252 | 2018-08-21 |
1114436862 | Steven Wade Martin | Chiropractor | 17330 Preston Rd., Suite 150a, Dallas, TX 75252 | 2017-09-26 |
1053766568 | Helix Health LLC | Clinical Medical Laboratory | 17218 Preston Road, Suite #4200, Dallas, TX 75252 | 2016-05-03 |
1144619511 | Bay Crest LLC | Home Health | 18208 Preston Rd Ste 151, Dallas, TX 75252 | 2015-01-22 |
1255720579 | Damion P Davis | Counselor | 17210 Campbell Rd, #200, Dallas, TX 75252 | 2015-01-12 |
1891109435 | Pediatric Home Healthcare, LLC | Home Health | 17950 Preston Rd # 370, Dallas, TX 75252 | 2014-06-11 |
1144579889 | Sandrine Yongbang | Specialist/Technologist | 19251 Preston Rd Apt1921, Dallas, TX 75252 | 2012-09-07 |
Find all providers in zip 75252 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659987022 | Specialists In Geriatric and Palliative Care Medicine Pllc | Clinic/Center | 8198 Walnut Hill Lane, Jackson Bldg, Suite 100, Dallas, TX 75231 | 2020-09-21 |
1285275560 | Heavenly Hands Family Medical Clinic, Pllc | Clinic/Center | 7602 Great Trinity Forest Way, Dallas, TX 75217-6650 | 2019-10-08 |
1740831098 | Careatc | Clinic/Center | 1500 Marilla St Rm 1cs, Dallas, TX 75201-6318 | 2019-09-26 |
1063077824 | Onepeak Medical Clinic, Inc | Clinic/Center | 1910 Greenville Ave, Dallas, TX 75206-7439 | 2019-05-07 |
1972068526 | Inkure U LLC | Clinic/Center | 8204 Elmbrook Dr Ste 202, Dallas, TX 75247-4067 | 2019-02-07 |
1548752850 | Susan Bacsik Do Pllc | Clinic/Center | 730 N Bishop Ave, Dallas, TX 75208-4338 | 2018-06-01 |
1255820239 | Fitzgerald Family Medicine | Clinic/Center | 289 E Ellendale Ave Ste 602, Dallas, OR 97338-1570 | 2018-05-06 |
1700328325 | Daniel Health & Wellness, Pllc | Clinic/Center | 17762 Preston Rd Ste 114, Dallas, TX 75252-5730 | 2016-11-14 |
1407205222 | Jayshri Health Services | Clinic/Center | 6315 Lindsley Ave, Dallas, TX 75223-1312 | 2016-06-13 |
1437506813 | James Ray Bergmann | Clinic/Center | 2200 Victory Ave, Unit 2404, Dallas, TX 75219-7675 | 2016-05-16 |
Find all providers in DALLAS |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.