Provider Demographics
NPI:1225495708
Name:QUALITY ASSIST, LLC
Entity Type:Organization
Organization Name:QUALITY ASSIST, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LSA,CSFA
Authorized Official - Prefix:
Authorized Official - First Name:KENDALL
Authorized Official - Middle Name:M
Authorized Official - Last Name:POLK
Authorized Official - Suffix:
Authorized Official - Credentials:LSA,CSFA
Authorized Official - Phone:214-927-6539
Mailing Address - Street 1:3540 E. BRAOD ST. STE 102
Mailing Address - Street 2:PMB 237
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:205 CRENSHAW DR
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-3451
Practice Address - Country:US
Practice Address - Phone:214-927-6539
Practice Address - Fax:817-394-1231
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-28
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Multi-Specialty
No246ZX2200XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherOrthopedic AssistantGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1285009803OtherNPI