Provider Demographics
NPI:1619585874
Name:QUALITY PT SERVICES, LLC
Entity Type:Organization
Organization Name:QUALITY PT SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TITO
Authorized Official - Middle Name:J
Authorized Official - Last Name:ALVARADO
Authorized Official - Suffix:
Authorized Official - Credentials:BBA, LPTA
Authorized Official - Phone:956-744-1027
Mailing Address - Street 1:6420 POLARIS DR STE 2A
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-2064
Mailing Address - Country:US
Mailing Address - Phone:956-744-1027
Mailing Address - Fax:956-750-8052
Practice Address - Street 1:6420 POLARIS DR STE 2A
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-2064
Practice Address - Country:US
Practice Address - Phone:956-744-1027
Practice Address - Fax:956-750-8052
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-14
Last Update Date:2020-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy AssistantGroup - Multi-Specialty