Provider Demographics
NPI:1043317761
Name:A&P QUALITY CARE MEDICAL LIMITED PARTNERSHIP
Entity Type:Organization
Organization Name:A&P QUALITY CARE MEDICAL LIMITED PARTNERSHIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TANISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-452-5111
Mailing Address - Street 1:8220 CROSS PARK DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78754-5228
Mailing Address - Country:US
Mailing Address - Phone:512-452-5111
Mailing Address - Fax:512-452-2015
Practice Address - Street 1:8220 CROSS PARK DR
Practice Address - Street 2:SUITE 100
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78754-5228
Practice Address - Country:US
Practice Address - Phone:512-452-5111
Practice Address - Fax:512-452-2015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-17
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX531127OtherBCBS
TX016413903Medicaid
TX531127OtherBCBS
5406750001Medicare ID - Type Unspecified