Provider Demographics
NPI:1538490818
Name:FIRST QUALITY HEALTHCARE INC
Entity Type:Organization
Organization Name:FIRST QUALITY HEALTHCARE INC
Other - Org Name:FIRST QUALITY MEDICAL AND REHAB CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:NURSRE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:RHONJEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GORDON
Authorized Official - Suffix:
Authorized Official - Credentials:RN,FNP-BC
Authorized Official - Phone:713-334-1003
Mailing Address - Street 1:2626 S LOOP W
Mailing Address - Street 2:350
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-2654
Mailing Address - Country:US
Mailing Address - Phone:713-334-1003
Mailing Address - Fax:713-334-1030
Practice Address - Street 1:2626 S LOOP W
Practice Address - Street 2:STE 350
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2654
Practice Address - Country:US
Practice Address - Phone:713-334-1003
Practice Address - Fax:713-334-1030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-26
Last Update Date:2010-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX677064261QH0100X, 261QP2300X
TXJ9021261QM2500X
TX8616261QR0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
No261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX133434401Medicaid
TX185033102Medicaid