Provider Demographics
NPI:1710199872
Name:USMAN QURESHI, MD, PA
Entity Type:Organization
Organization Name:USMAN QURESHI, MD, PA
Other - Org Name:ALICE HEART CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FINANCIAL DEPT. MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LETTY
Authorized Official - Middle Name:
Authorized Official - Last Name:VILLARREAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-668-4278
Mailing Address - Street 1:1008 MEDICAL CENTER BLVD
Mailing Address - Street 2:
Mailing Address - City:ALICE
Mailing Address - State:TX
Mailing Address - Zip Code:78332-5049
Mailing Address - Country:US
Mailing Address - Phone:361-668-4278
Mailing Address - Fax:
Practice Address - Street 1:1008 MEDICAL CENTER BLVD
Practice Address - Street 2:
Practice Address - City:ALICE
Practice Address - State:TX
Practice Address - Zip Code:78332-5049
Practice Address - Country:US
Practice Address - Phone:361-668-4278
Practice Address - Fax:361-668-4166
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
J8095207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX079669001Medicaid
0075CGOtherBCBS
TX00046FMedicare ID - Type Unspecified