Provider Demographics
NPI:1760633192
Name:QIC MEDICAL SOLUTIONS, INC.
Entity Type:Organization
Organization Name:QIC MEDICAL SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JIM
Authorized Official - Middle Name:
Authorized Official - Last Name:RUTHERFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-621-4464
Mailing Address - Street 1:6671 SOUTHWEST FWY
Mailing Address - Street 2:SUITE 777
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-2212
Mailing Address - Country:US
Mailing Address - Phone:713-621-4464
Mailing Address - Fax:713-621-7775
Practice Address - Street 1:6671 SOUTHWEST FWY
Practice Address - Street 2:SUITE 777
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-2212
Practice Address - Country:US
Practice Address - Phone:713-621-4464
Practice Address - Fax:713-621-7775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-03
Last Update Date:2008-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX006488251F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion