Provider Demographics
NPI:1083909568
Name:QUAS PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:QUAS PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:QUINCY
Authorized Official - Middle Name:
Authorized Official - Last Name:WASHINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-423-0803
Mailing Address - Street 1:1029 HWY 6 N
Mailing Address - Street 2:STE 650-192
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-1043
Mailing Address - Country:US
Mailing Address - Phone:832-423-0803
Mailing Address - Fax:
Practice Address - Street 1:1029 HWY 6 N
Practice Address - Street 2:STE 650-192
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-1043
Practice Address - Country:US
Practice Address - Phone:832-423-0803
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-13
Last Update Date:2011-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization