Provider Demographics
NPI:1356503940
Name:QUITMAN MEDICAL SERVICES, PLLC
Entity Type:Organization
Organization Name:QUITMAN MEDICAL SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:HARVEY
Authorized Official - Middle Name:H
Authorized Official - Last Name:DAYTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-222-0450
Mailing Address - Street 1:1320 QUITMAN ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77009-7936
Mailing Address - Country:US
Mailing Address - Phone:713-222-0450
Mailing Address - Fax:713-222-0464
Practice Address - Street 1:1320 QUITMAN ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77009-7936
Practice Address - Country:US
Practice Address - Phone:713-222-0450
Practice Address - Fax:713-222-0464
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-25
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG1884207Q00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty