Provider Demographics
NPI:1144573759
Name:Q & L HOLDINGS LLC
Entity Type:Organization
Organization Name:Q & L HOLDINGS LLC
Other - Org Name:FOOT SPECIALISTS OF LAREDO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER / PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:MARTIN
Authorized Official - Last Name:QUEZADA
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:956-772-7778
Mailing Address - Street 1:6999 MCPHERSON RD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-6449
Mailing Address - Country:US
Mailing Address - Phone:956-722-7778
Mailing Address - Fax:956-722-2353
Practice Address - Street 1:6999 MCPHERSON RD
Practice Address - Street 2:SUITE 107
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-6449
Practice Address - Country:US
Practice Address - Phone:956-722-7778
Practice Address - Fax:956-722-2353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-19
Last Update Date:2014-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2024213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXDT5300OtherMEDICARE RR PTAN
TX268157Medicare PIN