Provider Demographics
NPI:1588819536
Name:TEXAS QUALITY MEDICAL SUPPLIES & EQUIPMENT
Entity Type:Organization
Organization Name:TEXAS QUALITY MEDICAL SUPPLIES & EQUIPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:MIRCEA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOODY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-739-2473
Mailing Address - Street 1:3838 WOW RD UNIT B
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78413-1951
Mailing Address - Country:US
Mailing Address - Phone:361-739-2473
Mailing Address - Fax:
Practice Address - Street 1:3838 WOW RD UNIT B
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78413-1951
Practice Address - Country:US
Practice Address - Phone:361-739-2473
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-18
Last Update Date:2008-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies