Provider Demographics
NPI:1174627772
Name:QTP II INC
Entity Type:Organization
Organization Name:QTP II INC
Other - Org Name:QUALITY THERAPY REHABILITATION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:956-514-1551
Mailing Address - Street 1:PO BOX 1136
Mailing Address - Street 2:
Mailing Address - City:MERCEDES
Mailing Address - State:TX
Mailing Address - Zip Code:78570-1136
Mailing Address - Country:US
Mailing Address - Phone:956-514-1551
Mailing Address - Fax:956-514-1554
Practice Address - Street 1:208 STARR ST
Practice Address - Street 2:SUITE 2
Practice Address - City:MERCEDES
Practice Address - State:TX
Practice Address - Zip Code:78570-2711
Practice Address - Country:US
Practice Address - Phone:956-514-1551
Practice Address - Fax:956-514-1554
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-12
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX208785224Z00000X
TX1078822225100000X
TX105897225X00000X
TX15242235Z00000X
261QR0400X
TX171268901261QR0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitationGroup - Multi-Specialty
No224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX171268901Medicaid
TX171268901Medicaid