Provider Demographics
NPI:1508873985
Name:TEXAS QUALITY CARE
Entity Type:Organization
Organization Name:TEXAS QUALITY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PROGRAM ADMINISTER
Authorized Official - Prefix:
Authorized Official - First Name:BERNICE
Authorized Official - Middle Name:
Authorized Official - Last Name:GEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:682-587-8523
Mailing Address - Street 1:PO BOX 172991
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76003-2991
Mailing Address - Country:US
Mailing Address - Phone:682-587-8523
Mailing Address - Fax:682-587-8526
Practice Address - Street 1:925 KENNEDALE PKWY
Practice Address - Street 2:
Practice Address - City:KENNEDALE
Practice Address - State:TX
Practice Address - Zip Code:76060
Practice Address - Country:US
Practice Address - Phone:682-587-8523
Practice Address - Fax:682-587-8526
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities