Provider Demographics
NPI:1578881322
Name:MED-QUEST,LLC
Entity Type:Organization
Organization Name:MED-QUEST,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:KABZINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:281-362-1214
Mailing Address - Street 1:24706 INTERSTATE 45 N
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-1933
Mailing Address - Country:US
Mailing Address - Phone:281-362-1214
Mailing Address - Fax:281-465-4187
Practice Address - Street 1:24714 INTERSTATE 45 N
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77386-2466
Practice Address - Country:US
Practice Address - Phone:281-362-1214
Practice Address - Fax:281-465-4187
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-04
Last Update Date:2010-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6875111N00000X
TXD4000207Q00000X
TXG8966207Q00000X
TXL5571207Q00000X
TXF1285207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty