Provider Demographics
NPI:1285187237
Name:WTER QUAKER, LP
Entity Type:Organization
Organization Name:WTER QUAKER, LP
Other - Org Name:WEST TEXAS ER QUAKER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:
Authorized Official - First Name:KARLA
Authorized Official - Middle Name:
Authorized Official - Last Name:EMORY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:806-368-8606
Mailing Address - Street 1:7905 MILWAUKEE AVE
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424-0616
Mailing Address - Country:US
Mailing Address - Phone:806-368-8606
Mailing Address - Fax:
Practice Address - Street 1:10205 QUAKER AVE
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424
Practice Address - Country:US
Practice Address - Phone:806-368-5837
Practice Address - Fax:806-368-5852
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-26
Last Update Date:2016-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care