Provider Demographics
NPI:1316187099
Name:QUALITY CARE PRIMARY, INC.
Entity Type:Organization
Organization Name:QUALITY CARE PRIMARY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ENRIQUE
Authorized Official - Middle Name:
Authorized Official - Last Name:DELGADO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:956-726-8503
Mailing Address - Street 1:3104 JAIME ZAPATA MEMORIAL HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78043
Mailing Address - Country:US
Mailing Address - Phone:956-726-8503
Mailing Address - Fax:956-727-5068
Practice Address - Street 1:3104 JAIME ZAPATA MEMORIAL HIGHWAY
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78043
Practice Address - Country:US
Practice Address - Phone:956-726-8503
Practice Address - Fax:956-727-5068
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-20
Last Update Date:2011-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care