Provider Demographics
NPI:1578915815
Name:QUANTITATIVE FIRST ASSISTING, LLC
Entity Type:Organization
Organization Name:QUANTITATIVE FIRST ASSISTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROY
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:GRADNEY
Authorized Official - Suffix:
Authorized Official - Credentials:CFA
Authorized Official - Phone:702-379-2786
Mailing Address - Street 1:3800 N MESA ST
Mailing Address - Street 2:STE A2 147
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-1538
Mailing Address - Country:US
Mailing Address - Phone:702-379-2786
Mailing Address - Fax:
Practice Address - Street 1:3800 N MESA ST
Practice Address - Street 2:STE A2 147
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-1538
Practice Address - Country:US
Practice Address - Phone:702-379-2786
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-11
Last Update Date:2016-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV3822174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1639585912OtherNPI